| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $1,258.93 | $7,762.47 | |
BCBS
| Facility | $3,311.31 | $10,232.93 | $15,848.93 | |
Providence
| Facility | $794.33 | $1,071.52 | $1,621.81 | |
United
| Facility | $794.33 | $9,120.11 | $31,622.78 |