| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $977.24 | $7,762.47 | |
BCBS
| Facility | $2,511.89 | $8,912.51 | $14,125.38 | |
Providence
| Facility | $537.03 | $812.83 | $1,412.54 | |
United
| Facility | $645.65 | $6,606.93 | $14,454.40 |