| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $1,023.29 | $7,762.47 | |
BCBS
| Facility | $4,073.80 | $14,454.40 | $22,387.21 | |
Providence
| Facility | $660.69 | $912.01 | $1,348.96 | |
United
| Facility | $891.25 | $11,220.18 | $31,622.78 |