| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $716.21 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $1,723.10 | $5,966.62 | $9,258.76 | |
Providence
| Facility | $615.80 | $786.82 | $1,028.97 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |