| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.60 | $7,156.92 | $7,838.38 | |
BCBS
| Facility | $3,660.24 | $12,220.08 | $19,593.02 | |
Providence
| Facility | $454.40 | $578.33 | $664.58 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |