| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $112.20 | $7,762.47 | |
BCBS
| Facility | $1,202.26 | $2,691.53 | $4,365.16 | |
Providence
| Facility | $67.61 | $114.82 | $229.09 | |
United
| Facility | $416.87 | $2,511.89 | $3,890.45 |