| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $745.43 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $7,115.49 | $17,070.15 | $28,597.04 | |
Providence
| Facility | $704.68 | $896.87 | $996.59 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |