| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.73 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $921.06 | $3,377.34 | $5,503.33 | |
Providence
| Facility | $95.12 | $200.86 | $676.18 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |