| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $707.95 | $7,762.47 | |
BCBS
| Facility | $2,344.23 | $8,317.64 | $13,182.57 | |
Providence
| Facility | $234.42 | $371.54 | $630.96 | |
United
| Facility | $645.65 | $6,606.93 | $12,589.25 |