| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $3,388.44 | $8,511.38 | $14,125.38 | |
Providence
| Facility | $389.05 | $537.03 | $870.96 | |
United
| Facility | $645.65 | $6,606.93 | $12,589.25 |