| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $1,380.38 | $7,762.47 | |
BCBS
| Facility | $2,570.40 | $9,120.11 | $14,454.40 | |
Providence
| Facility | $269.15 | $363.08 | $630.96 | |
United
| Facility | $645.65 | $6,606.93 | $9,120.11 |