| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $359.43 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $2,419.71 | $8,378.81 | $13,001.91 | |
Providence
| Facility | $206.12 | $345.93 | $592.36 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |