| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $584.80 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $3,513.39 | $8,428.67 | $14,120.27 | |
Providence
| Facility | $431.04 | $431.04 | $518.63 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |