| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $1,380.38 | $7,762.47 | |
BCBS
| Facility | $2,630.27 | $9,332.54 | $14,791.08 | |
Providence
| Facility | $588.84 | $812.83 | $1,288.25 | |
United
| Facility | $645.65 | $6,606.93 | $31,622.78 |