| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.58 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $1,892.76 | $6,554.12 | $10,170.43 | |
Providence
| Facility | $258.43 | $365.59 | $459.00 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |