| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $532.35 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $1,041.17 | $2,497.79 | $3,875.97 | |
Providence
| Facility | $448.74 | $573.36 | $710.50 | |
United
| Facility | $1,824.00 | $2,516.00 | $2,655.00 |