| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.95 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $1,439.53 | $3,769.25 | $6,043.41 | |
Providence
| Facility | $108.35 | $309.58 | $413.37 | |
United
| Facility | $1,824.00 | $2,516.00 | $2,877.00 |