| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $673.12 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $3,965.91 | $13,965.22 | $21,670.68 | |
Providence
| Facility | $638.76 | $830.62 | $1,320.90 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |