| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.33 | $6,413.62 | $8,763.29 | |
BCBS
| Facility | $2,364.73 | $8,188.45 | $12,706.51 | |
Providence
| Facility | $171.25 | $273.30 | $544.51 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |