| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $2,089.30 | $8,709.64 | |
BCBS
| Facility | $4,073.80 | $14,454.40 | $22,387.21 | |
Providence
| Facility | $407.38 | $562.34 | $851.14 | |
United
| Facility | $891.25 | $11,220.18 | $16,982.44 |