| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $873.16 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $1,623.23 | $5,620.80 | $8,722.12 | |
Providence
| Facility | $851.32 | $1,127.14 | $1,459.89 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |