| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $2,089.30 | $8,912.51 | |
BCBS
| Facility | $5,888.44 | $20,892.96 | $33,113.11 | |
Providence
| Facility | $616.60 | $812.83 | $1,288.25 | |
United
| Facility | $891.25 | $11,220.18 | $31,622.78 |