| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $965.10 | $7,838.38 | $8,942.39 | |
BCBS
| Facility | $8,664.74 | $31,038.28 | $48,163.98 | |
Providence
| Facility | $910.00 | $1,217.61 | $1,456.06 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |