| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $2,691.53 | $8,317.64 | $13,182.57 | |
Providence
| Facility | $457.09 | $602.56 | $1,071.52 | |
United
| Facility | $645.65 | $6,606.93 | $15,488.17 |