| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,583.76 | $7,838.38 | $8,226.04 | |
BCBS
| Facility | $4,977.14 | $18,250.21 | $29,738.47 | |
Providence
| Facility | $1,528.14 | $1,972.16 | $3,361.63 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |