| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $2,089.30 | $8,912.51 | |
BCBS
| Facility | $5,128.61 | $12,589.25 | $19,952.62 | |
Providence
| Facility | $295.12 | $398.11 | $676.08 | |
United
| Facility | $229.09 | $1,096.48 | $1,412.54 |