| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $1,047.13 | $8,709.64 | |
BCBS
| Facility | $5,248.07 | $13,182.57 | $21,877.62 | |
Providence
| Facility | $467.74 | $707.95 | $1,258.93 | |
United
| Facility | $1,023.29 | $15,135.61 | $31,622.78 |