| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $4,466.84 | $7,762.47 | |
BCBS
| Facility | $2,344.23 | $5,754.40 | $9,120.11 | |
Providence
| Facility | $380.19 | $524.81 | $1,318.26 | |
United
| Facility | $562.34 | $4,265.80 | $8,912.51 |