| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $765.31 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $3,210.50 | $11,123.68 | $17,261.30 | |
Providence
| Facility | $717.70 | $989.18 | $1,445.00 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |