| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.64 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $2,855.07 | $9,886.35 | $15,341.24 | |
Providence
| Facility | $487.36 | $750.49 | $1,036.32 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |