| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.20 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $1,769.16 | $6,126.13 | $9,506.29 | |
Providence
| Facility | $655.60 | $840.00 | $2,116.46 | |
United
| Facility | $559.00 | $4,262.00 | $12,517.79 |