| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $3,235.94 | $11,481.54 | $18,197.01 | |
Providence
| Facility | $489.78 | $758.58 | $1,096.48 | |
United
| Facility | $794.33 | $9,120.11 | $14,125.38 |