| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $1,047.13 | $7,762.47 | |
BCBS
| Facility | $5,370.32 | $11,748.98 | $19,054.61 | |
Providence
| Facility | $660.69 | $933.25 | $1,513.56 | |
United
| Facility | $794.33 | $9,120.11 | $14,125.38 |