| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $933.25 | $8,709.64 | |
BCBS
| Facility | $2,691.53 | $7,943.28 | $12,302.69 | |
Providence
| Facility | $446.68 | $660.69 | $1,122.02 | |
United
| Facility | $645.65 | $6,606.93 | $14,125.38 |