| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.36 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $728.01 | $2,669.47 | $4,349.85 | |
Providence
| Facility | $73.80 | $133.63 | $266.19 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |