| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $2,137.96 | $8,709.64 | |
BCBS
| Facility | $3,019.95 | $10,715.19 | $16,982.44 | |
Providence
| Facility | $645.65 | $912.01 | $1,412.54 | |
United
| Facility | $794.33 | $9,120.11 | $14,125.38 |