| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $954.99 | $8,709.64 | |
BCBS
| Facility | $2,187.76 | $7,943.28 | $12,302.69 | |
Providence
| Facility | $457.09 | $691.83 | $1,047.13 | |
United
| Facility | $645.65 | $6,606.93 | $31,622.78 |