| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.10 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $4,977.14 | $18,250.21 | $29,738.47 | |
Providence
| Facility | $213.60 | $263.89 | $868.00 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |