| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $785.99 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $4,201.07 | $15,048.81 | $23,352.16 | |
Providence
| Facility | $579.32 | $801.62 | $1,327.48 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |