| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $880.32 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $4,513.59 | $31,013.78 | $48,163.98 | |
Providence
| Facility | $836.83 | $1,076.79 | $1,564.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |