| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.04 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $2,606.30 | $8,762.02 | $14,004.49 | |
Providence
| Facility | $355.22 | $486.25 | $717.19 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |