| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $798.48 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $2,855.07 | $9,886.35 | $15,341.24 | |
Providence
| Facility | $697.46 | $850.00 | $1,080.33 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |