| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $820.83 | $7,838.38 | $8,942.39 | |
BCBS
| Facility | $4,345.93 | $15,935.67 | $25,966.96 | |
Providence
| Facility | $742.29 | $943.56 | $1,581.00 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |