| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.05 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $3,769.41 | $13,052.46 | $20,254.30 | |
Providence
| Facility | $612.00 | $773.56 | $1,133.91 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |