| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $846.21 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $4,135.39 | $13,806.43 | $22,136.49 | |
Providence
| Facility | $744.92 | $1,057.92 | $1,082.78 | |
United
| Facility | $6,295.00 | $9,127.00 | $10,150.00 |