| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $411.55 | $2,040.00 | $7,838.38 | |
BCBS
| Facility | $2,208.62 | $7,647.84 | $11,867.62 | |
Providence
| Facility | $412.88 | $575.29 | $804.79 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |