| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.82 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $2,141.60 | $11,114.90 | $13,449.25 | |
Providence
| Facility | $383.39 | $482.65 | $662.84 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |