| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,544.00 | $13,181.62 | $13,181.62 | |
BCBS
| Facility | $4,552.54 | $16,307.81 | $25,305.82 | |
Providence
| Facility | $631.65 | $891.23 | $1,241.00 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |