| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.60 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $1,041.17 | $2,408.25 | $3,861.26 | |
Providence
| Facility | $356.20 | $453.35 | $602.34 | |
United
| Facility | $1,824.00 | $2,516.00 | $2,655.00 |