| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.01 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $1,439.53 | $1,764.93 | $2,096.27 | |
Providence
| Facility | $238.00 | $364.02 | $476.00 | |
United
| Facility | $1,657.00 | $21,608.00 | $23,542.00 |