| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.31 | $1,000.00 | $8,763.29 | |
BCBS
| Facility | $2,284.32 | $7,626.43 | $12,227.81 | |
Providence
| Facility | $318.50 | $424.39 | $491.05 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |