| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $636.58 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $8,456.07 | $30,290.80 | $47,004.07 | |
Providence
| Facility | $218.28 | $954.23 | $1,182.56 | |
United
| Facility | $1,657.00 | $21,608.00 | $23,542.00 |