| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $1,380.38 | $7,762.47 | |
BCBS
| Facility | $3,715.35 | $8,128.31 | $13,182.57 | |
Providence
| Facility | $229.09 | $354.81 | $575.44 | |
United
| Facility | $794.33 | $9,120.11 | $30,902.95 |