| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $2,951.21 | $10,471.29 | $16,595.87 | |
Providence
| Facility | $281.84 | $389.05 | $676.08 | |
United
| Facility | $794.33 | $9,120.11 | $30,902.95 |