| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $1,380.38 | $7,762.47 | |
BCBS
| Facility | $3,715.35 | $8,128.31 | $13,182.57 | |
Providence
| Facility | $208.93 | $354.81 | $524.81 | |
United
| Facility | $794.33 | $9,120.11 | $16,218.10 |