| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.93 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $2,959.63 | $9,881.04 | $15,842.73 | |
Providence
| Facility | $399.62 | $534.24 | $538.64 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |