| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $1,380.38 | $7,762.47 | |
BCBS
| Facility | $2,344.23 | $6,760.83 | $10,715.19 | |
Providence
| Facility | $562.34 | $758.58 | $1,202.26 | |
United
| Facility | $645.65 | $6,606.93 | $8,511.38 |