| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557.41 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $2,364.73 | $8,671.01 | $14,129.29 | |
Providence
| Facility | $507.13 | $608.72 | $841.86 | |
United
| Facility | $3,240.48 | $6,599.00 | $7,158.00 |