| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $703.34 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $4,552.54 | $16,307.81 | $25,305.82 | |
Providence
| Facility | $667.24 | $879.95 | $1,241.00 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |