| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $803.36 | $1,748.54 | $7,838.38 | |
BCBS
| Facility | $5,133.80 | $18,389.97 | $28,536.83 | |
Providence
| Facility | $539.28 | $768.57 | $1,068.51 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |