| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.86 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $4,010.11 | $14,364.75 | $22,290.66 | |
Providence
| Facility | $217.00 | $372.94 | $945.88 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |