| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $693.47 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $3,768.81 | $13,819.47 | $22,518.64 | |
Providence
| Facility | $653.97 | $803.49 | $1,100.63 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |