| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $763.93 | $2,095.00 | $8,763.29 | |
BCBS
| Facility | $3,025.15 | $10,475.31 | $16,255.17 | |
Providence
| Facility | $516.88 | $689.98 | $1,360.00 | |
United
| Facility | $790.00 | $9,127.00 | $14,191.01 |