| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $636.69 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $4,597.20 | $16,857.00 | $27,468.27 | |
Providence
| Facility | $603.87 | $746.76 | $927.48 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |