| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $433.11 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $3,348.05 | $8,032.00 | $13,455.74 | |
Providence
| Facility | $402.25 | $511.95 | $608.02 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |