| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.55 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $728.01 | $2,669.47 | $4,349.85 | |
Providence
| Facility | $72.19 | $130.47 | $256.20 | |
United
| Facility | $418.00 | $2,516.00 | $3,893.88 |