| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $778.21 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $2,855.07 | $9,886.35 | $15,341.24 | |
Providence
| Facility | $671.32 | $841.63 | $1,097.60 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |