| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $285.12 | $659.49 | $1,145.90 | |
Providence
| Facility | $71.09 | $90.47 | $95.59 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |