| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $2,089.30 | $9,120.11 | |
BCBS
| Facility | $3,311.31 | $8,317.64 | $13,182.57 | |
Providence
| Facility | $346.74 | $467.74 | $831.76 | |
United
| Facility | $645.65 | $6,606.93 | $9,120.11 |