| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.15 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $3,212.40 | $11,779.23 | $19,194.09 | |
Providence
| Facility | $611.97 | $742.85 | $988.28 | |
United
| Facility | $790.00 | $9,127.00 | $14,191.01 |