| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $1,047.13 | $7,762.47 | |
BCBS
| Facility | $3,801.89 | $12,882.50 | $20,892.96 | |
Providence
| Facility | $707.95 | $933.25 | $1,659.59 | |
United
| Facility | $1,023.29 | $15,135.61 | $23,442.29 |