| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.33 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $2,096.27 | $7,641.81 | $11,867.62 | |
Providence
| Facility | $168.05 | $275.04 | $560.75 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |