| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.88 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $2,723.43 | $6,550.83 | $10,503.26 | |
Providence
| Facility | $328.58 | $418.19 | $479.07 | |
United
| Facility | $3,085.00 | $3,085.00 | $5,060.00 |