| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $666.25 | $4,446.00 | $7,838.38 | |
BCBS
| Facility | $1,928.01 | $5,419.30 | $8,689.02 | |
Providence
| Facility | $381.80 | $527.95 | $543.21 | |
United
| Facility | $3,085.00 | $3,085.00 | $5,060.00 |