| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $1,047.13 | $7,762.47 | |
BCBS
| Facility | $3,162.28 | $11,481.54 | $17,782.79 | |
Providence
| Facility | $346.74 | $489.78 | $776.25 | |
United
| Facility | $794.33 | $9,120.11 | $15,135.61 |