| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.65 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $2,056.29 | $6,865.13 | $11,007.18 | |
Providence
| Facility | $215.49 | $253.96 | $312.58 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |