| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $728.90 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $4,135.39 | $13,806.43 | $22,136.49 | |
Providence
| Facility | $746.58 | $1,010.99 | $1,028.59 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |