| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $1,445.44 | $7,762.47 | |
BCBS
| Facility | $10,715.19 | $23,442.29 | $38,904.51 | |
Providence
| Facility | $446.68 | $912.01 | $1,548.82 | |
United
| Facility | $1,023.29 | $10,000.00 | $27,542.29 |