| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $502.50 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $3,025.15 | $10,475.31 | $16,255.17 | |
Providence
| Facility | $477.39 | $638.25 | $1,608.20 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |