| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $769.62 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $4,552.54 | $16,307.81 | $25,305.82 | |
Providence
| Facility | $729.87 | $973.98 | $1,360.00 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |