| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $728.75 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $3,655.97 | $13,405.69 | $21,844.39 | |
Providence
| Facility | $438.25 | $614.41 | $855.67 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |