| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.78 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $4,443.96 | $15,918.88 | $24,702.29 | |
Providence
| Facility | $622.97 | $837.67 | $1,479.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |