| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $909.80 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $1,197.13 | $2,871.92 | $4,811.22 | |
Providence
| Facility | $909.93 | $1,158.08 | $1,337.08 | |
United
| Facility | $1,824.00 | $2,516.00 | $2,655.00 |