| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $495.31 | $1,331.31 | $7,838.38 | |
BCBS
| Facility | $2,613.12 | $9,048.54 | $14,041.16 | |
Providence
| Facility | $464.19 | $586.35 | $713.34 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |