| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $920.95 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $3,212.40 | $11,779.23 | $19,194.09 | |
Providence
| Facility | $873.16 | $1,152.46 | $1,950.88 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |