| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.59 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $3,212.40 | $11,123.68 | $17,261.30 | |
Providence
| Facility | $547.54 | $816.11 | $1,079.39 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |