| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $816.08 | $7,178.00 | $7,838.38 | |
BCBS
| Facility | $2,723.43 | $7,894.90 | $12,658.27 | |
Providence
| Facility | $384.86 | $552.95 | $588.27 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |