| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.30 | $2,040.00 | $7,838.38 | |
BCBS
| Facility | $3,025.15 | $10,475.31 | $16,255.17 | |
Providence
| Facility | $628.61 | $810.02 | $1,360.00 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |