| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $871.09 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $2,807.61 | $9,886.35 | $15,341.24 | |
Providence
| Facility | $758.61 | $1,019.50 | $1,239.57 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |