| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $2,691.53 | $7,762.47 | $12,302.69 | |
Providence
| Facility | $263.03 | $371.54 | $602.56 | |
United
| Facility | $645.65 | $6,606.93 | $16,218.10 |