| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $956.66 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $1,513.51 | $3,630.94 | $6,082.78 | |
Providence
| Facility | $220.59 | $492.05 | $957.16 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |