| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.19 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $1,962.15 | $6,794.40 | $10,543.29 | |
Providence
| Facility | $211.86 | $350.00 | $600.62 | |
United
| Facility | $639.00 | $6,599.00 | $12,517.79 |