| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.40 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $957.99 | $3,512.76 | $5,723.99 | |
Providence
| Facility | $74.73 | $119.42 | $176.20 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |