| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $1,047.13 | $7,762.47 | |
BCBS
| Facility | $1,445.44 | $3,981.07 | $6,309.57 | |
Providence
| Facility | $123.03 | $354.81 | $457.09 | |
United
| Facility | $416.87 | $2,511.89 | $6,918.31 |