| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $483.96 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $3,105.32 | $11,114.90 | $17,261.30 | |
Providence
| Facility | $464.16 | $593.32 | $1,139.00 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |