| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $687.23 | $7,838.38 | $12,803.04 | |
BCBS
| Facility | $2,208.62 | $7,695.11 | $11,867.62 | |
Providence
| Facility | $374.50 | $540.04 | $750.51 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |