| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.22 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $786.72 | $2,884.74 | $4,700.64 | |
Providence
| Facility | $122.26 | $479.77 | $1,635.54 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |