| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.79 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $7,141.78 | $17,133.21 | $28,702.68 | |
Providence
| Facility | $411.79 | $524.09 | $588.00 | |
United
| Facility | $9,028.00 | $56,416.00 | $56,416.00 |