| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.63 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $499.86 | $1,199.16 | $1,860.81 | |
Providence
| Facility | $250.46 | $318.77 | $470.80 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |