| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.29 | $2,536.73 | $7,838.38 | |
BCBS
| Facility | $3,901.66 | $14,306.63 | $23,312.45 | |
Providence
| Facility | $366.39 | $1,498.98 | $1,975.91 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |