| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,136.92 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $6,129.46 | $14,704.65 | $24,634.21 | |
Providence
| Facility | $1,267.98 | $1,541.39 | $1,599.73 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |