| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.41 | $2,040.00 | $7,838.38 | |
BCBS
| Facility | $3,901.66 | $14,306.63 | $23,312.45 | |
Providence
| Facility | $388.96 | $1,508.35 | $1,997.77 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |