| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.63 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $2,526.02 | $9,048.54 | $14,041.16 | |
Providence
| Facility | $498.04 | $593.11 | $796.42 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |