| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $648.60 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $3,454.42 | $11,532.94 | $18,491.31 | |
Providence
| Facility | $625.47 | $796.05 | $960.16 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |