| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $473.18 | $4,714.28 | $8,644.27 | |
BCBS
| Facility | $2,925.42 | $6,766.52 | $10,849.08 | |
Providence
| Facility | $296.55 | $415.52 | $555.13 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |