| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.35 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $5,195.03 | $12,462.93 | $20,878.73 | |
Providence
| Facility | $833.81 | $1,061.21 | $1,208.81 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |