| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $664.55 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $2,613.12 | $9,048.54 | $14,041.16 | |
Providence
| Facility | $478.80 | $739.41 | $975.09 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |