| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.89 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $3,085.57 | $11,052.94 | $17,151.52 | |
Providence
| Facility | $293.49 | $478.56 | $909.50 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |