| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $730.04 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $4,552.54 | $16,307.81 | $25,305.82 | |
Providence
| Facility | $693.87 | $1,027.75 | $1,296.97 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |