| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $1,380.38 | $7,762.47 | |
BCBS
| Facility | $2,630.27 | $9,332.54 | $14,791.08 | |
Providence
| Facility | $269.15 | $398.11 | $660.69 | |
United
| Facility | $794.33 | $9,120.11 | $16,218.10 |