| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.20 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $2,225.91 | $7,707.73 | $11,960.56 | |
Providence
| Facility | $389.08 | $490.00 | $714.00 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |