| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $597.11 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $3,025.15 | $10,475.31 | $16,255.17 | |
Providence
| Facility | $565.41 | $757.49 | $1,890.40 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |