| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $614.02 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $1,623.23 | $5,620.80 | $8,722.12 | |
Providence
| Facility | $378.00 | $579.04 | $836.21 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |