| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.04 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $2,613.12 | $9,048.54 | $14,041.16 | |
Providence
| Facility | $489.49 | $715.41 | $1,089.19 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |