| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $407.38 | $8,709.64 | |
BCBS
| Facility | $3,715.35 | $9,120.11 | $14,454.40 | |
Providence
| Facility | $269.15 | $371.54 | $630.96 | |
United
| Facility | $645.65 | $6,606.93 | $15,488.17 |