| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $728.32 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $2,151.71 | $7,707.73 | $11,960.56 | |
Providence
| Facility | $425.00 | $625.69 | $788.14 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |