| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $3,981.07 | $8,709.64 | $14,125.38 | |
Providence
| Facility | $512.86 | $691.83 | $1,122.02 | |
United
| Facility | $645.65 | $6,606.93 | $12,589.25 |