| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.66 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $2,026.76 | $6,766.52 | $10,849.08 | |
Providence
| Facility | $168.35 | $214.26 | $236.17 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |