| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $854.06 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $5,677.04 | $20,335.93 | $31,556.51 | |
Providence
| Facility | $811.50 | $1,060.94 | $1,509.60 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |