| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $7,762.47 | $8,709.64 | |
BCBS
| Facility | $19,952.62 | $43,651.58 | $69,183.10 | |
Providence
| Facility | $1,122.02 | $1,584.89 | $2,398.83 | |
United
| Facility | $1,659.59 | $21,379.62 | $56,234.13 |