| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $1,318.26 | $7,762.47 | |
BCBS
| Facility | $2,754.23 | $9,332.54 | $14,791.08 | |
Providence
| Facility | $478.63 | $630.96 | $977.24 | |
United
| Facility | $645.65 | $6,606.93 | $14,125.38 |