| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $741.31 | $7,762.47 | |
BCBS
| Facility | $3,311.31 | $11,481.54 | $18,197.01 | |
Providence
| Facility | $478.63 | $660.69 | $977.24 | |
United
| Facility | $794.33 | $9,120.11 | $14,125.38 |