| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.91 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $2,419.71 | $8,378.81 | $13,001.91 | |
Providence
| Facility | $113.90 | $190.02 | $291.48 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |