| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $884.40 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $4,033.01 | $13,965.22 | $21,670.68 | |
Providence
| Facility | $840.97 | $1,108.15 | $1,698.30 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |