| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $1,479.11 | $7,762.47 | |
BCBS
| Facility | $4,265.80 | $9,549.93 | $15,488.17 | |
Providence
| Facility | $302.00 | $1,174.90 | $2,187.76 | |
United
| Facility | $645.65 | $6,606.93 | $9,120.11 |