| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $1,288.25 | $8,709.64 | |
BCBS
| Facility | $3,801.89 | $12,589.25 | $19,952.62 | |
Providence
| Facility | $676.08 | $1,096.48 | $1,949.84 | |
United
| Facility | $794.33 | $9,120.11 | $21,877.62 |