| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $849.24 | $1,794.50 | $7,838.38 | |
BCBS
| Facility | $5,133.80 | $18,389.97 | $28,536.83 | |
Providence
| Facility | $621.72 | $807.55 | $1,173.09 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |