| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $622.73 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $5,133.80 | $18,389.97 | $28,536.83 | |
Providence
| Facility | $564.70 | $727.60 | $947.04 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |