| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.18 | $4,824.47 | $8,644.27 | |
BCBS
| Facility | $2,925.42 | $6,766.52 | $10,849.08 | |
Providence
| Facility | $284.73 | $365.23 | $459.62 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |