| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $781.06 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $2,759.90 | $9,886.35 | $15,341.24 | |
Providence
| Facility | $677.28 | $901.61 | $1,098.45 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |