| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $1,288.25 | $7,762.47 | |
BCBS
| Facility | $1,318.26 | $2,884.03 | $4,677.35 | |
Providence
| Facility | $251.19 | $660.69 | $1,778.28 | |
United
| Facility | $416.87 | $2,511.89 | $9,120.11 |