| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $891.25 | $7,762.47 | |
BCBS
| Facility | $1,174.90 | $6,309.57 | $7,585.78 | |
Providence
| Facility | $371.54 | $575.44 | $1,000.00 | |
United
| Facility | $562.34 | $4,365.16 | $12,589.25 |