| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.88 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $18,889.93 | $67,191.50 | $101,501.92 | |
Providence
| Facility | $360.52 | $398.85 | $730.22 | |
United
| Facility | $1,035.00 | $15,131.00 | $16,269.00 |