| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.36 | $2,095.00 | $8,763.29 | |
BCBS
| Facility | $2,225.91 | $7,707.73 | $11,960.56 | |
Providence
| Facility | $362.37 | $444.62 | $581.34 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |