| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $1,023.29 | $7,762.47 | |
BCBS
| Facility | $4,168.69 | $14,791.08 | $23,442.29 | |
Providence
| Facility | $741.31 | $1,000.00 | $2,511.89 | |
United
| Facility | $1,023.29 | $15,135.61 | $23,988.33 |