| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $7,943.28 | $17,378.01 | $28,183.83 | |
Providence
| Facility | $416.87 | $616.60 | $794.33 | |
United
| Facility | $891.25 | $11,220.18 | $26,302.68 |