| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $804.09 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $3,191.97 | $11,121.25 | $19,072.02 | |
Providence
| Facility | $752.44 | $958.12 | $1,410.85 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |