| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $971.26 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $3,643.76 | $13,052.46 | $20,254.30 | |
Providence
| Facility | $816.00 | $1,151.44 | $1,554.36 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,808.14 |