| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.56 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $810.27 | $1,943.84 | $3,256.45 | |
Providence
| Facility | $71.59 | $96.53 | $108.97 | |
United
| Facility | $1,824.00 | $2,516.00 | $2,655.00 |