| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $736.02 | $7,838.38 | $8,942.39 | |
BCBS
| Facility | $2,524.05 | $8,740.11 | $13,562.56 | |
Providence
| Facility | $633.34 | $893.22 | $1,921.00 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |