| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $177.83 | $7,762.47 | |
BCBS
| Facility | $1,862.09 | $4,168.69 | $6,760.83 | |
Providence
| Facility | $79.43 | $169.82 | $229.09 | |
United
| Facility | $416.87 | $2,511.89 | $6,918.31 |