| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $2,089.30 | $8,709.64 | |
BCBS
| Facility | $3,090.30 | $7,244.36 | $11,481.54 | |
Providence
| Facility | $275.42 | $389.05 | $645.65 | |
United
| Facility | $645.65 | $6,606.93 | $14,125.38 |