| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $455.94 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $2,225.91 | $7,707.73 | $11,960.56 | |
Providence
| Facility | $420.80 | $547.78 | $706.45 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |