| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.69 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $4,771.37 | $17,091.71 | $26,522.24 | |
Providence
| Facility | $565.21 | $742.03 | $1,455.20 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |