| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $919.57 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $6,399.46 | $22,923.74 | $35,572.17 | |
Providence
| Facility | $840.38 | $1,089.09 | $1,615.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |