| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.63 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $1,041.17 | $2,408.25 | $3,861.26 | |
Providence
| Facility | $481.82 | $783.37 | $997.02 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |