| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $728.58 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $1,769.16 | $6,126.13 | $9,506.29 | |
Providence
| Facility | $723.31 | $936.85 | $2,921.65 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |