| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.04 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $6,441.19 | $23,618.57 | $38,486.14 | |
Providence
| Facility | $784.17 | $999.75 | $1,455.98 | |
United
| Facility | $1,035.00 | $10,074.00 | $21,396.00 |