| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $1,380.38 | $7,762.47 | |
BCBS
| Facility | $3,548.13 | $12,589.25 | $19,952.62 | |
Providence
| Facility | $676.08 | $912.01 | $1,621.81 | |
United
| Facility | $794.33 | $9,120.11 | $15,488.17 |