| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $925.17 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $5,133.80 | $18,389.97 | $28,536.83 | |
Providence
| Facility | $759.68 | $950.05 | $1,328.86 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |