| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $862.42 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $4,345.93 | $14,509.34 | $23,263.50 | |
Providence
| Facility | $706.77 | $913.88 | $1,143.34 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |