| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.93 | $7,838.38 | $17,727.00 | |
BCBS
| Facility | $2,604.12 | $6,247.31 | $10,465.90 | |
Providence
| Facility | $151.66 | $157.55 | $193.02 | |
United
| Facility | $1,824.00 | $2,516.00 | $2,655.00 |