| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $8,912.51 | $31,622.78 | $50,118.72 | |
Providence
| Facility | $645.65 | $1,000.00 | $1,445.44 | |
United
| Facility | $891.25 | $11,220.18 | $31,622.78 |