| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.33 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $3,643.76 | $13,052.46 | $20,254.30 | |
Providence
| Facility | $287.70 | $408.00 | $557.73 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |