| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $1,047.13 | $7,762.47 | |
BCBS
| Facility | $1,778.28 | $5,495.41 | $8,709.64 | |
Providence
| Facility | $537.03 | $707.95 | $1,148.15 | |
United
| Facility | $562.34 | $4,365.16 | $14,791.08 |