| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.16 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $2,723.43 | $8,615.39 | $13,813.46 | |
Providence
| Facility | $347.18 | $441.87 | $504.68 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |