| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $967.22 | $7,838.38 | $8,942.39 | |
BCBS
| Facility | $4,301.29 | $11,904.68 | $19,087.33 | |
Providence
| Facility | $1,215.39 | $1,502.71 | $1,962.70 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |