| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.18 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $4,442.37 | $10,657.31 | $17,853.82 | |
Providence
| Facility | $250.80 | $319.20 | $356.96 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |