| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.94 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $728.01 | $2,536.48 | $3,911.84 | |
Providence
| Facility | $132.76 | $289.00 | $477.46 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |