| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $2,089.30 | $8,709.64 | |
BCBS
| Facility | $8,317.64 | $18,197.01 | $29,512.09 | |
Providence
| Facility | $213.80 | $281.84 | $436.52 | |
United
| Facility | $229.09 | $1,096.48 | $1,412.54 |