| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $2,511.89 | $6,165.95 | $9,772.37 | |
Providence
| Facility | $426.58 | $562.34 | $891.25 | |
United
| Facility | $562.34 | $4,265.80 | $7,079.46 |