| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $725.13 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $2,208.62 | $8,098.55 | $13,196.47 | |
Providence
| Facility | $605.41 | $861.63 | $1,139.00 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |