| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.83 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $2,855.07 | $9,886.35 | $15,341.24 | |
Providence
| Facility | $444.28 | $535.98 | $704.31 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |