| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $666.62 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $3,025.15 | $11,092.64 | $18,075.30 | |
Providence
| Facility | $611.32 | $779.70 | $1,080.91 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |