| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $5,888.44 | $12,882.50 | $20,892.96 | |
Providence
| Facility | $549.54 | $616.60 | $1,318.26 | |
United
| Facility | $794.33 | $13,803.84 | $109,647.82 |