| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $4,897.79 | $17,378.01 | $27,542.29 | |
Providence
| Facility | $660.69 | $933.25 | $1,513.56 | |
United
| Facility | $1,023.29 | $14,125.38 | $21,379.62 |