| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.11 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $4,771.37 | $17,091.71 | $26,522.24 | |
Providence
| Facility | $751.87 | $1,004.57 | $1,382.10 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |