| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,544.00 | $3,653.31 | $8,763.29 | |
BCBS
| Facility | $4,443.96 | $15,918.88 | $24,702.29 | |
Providence
| Facility | $616.82 | $775.83 | $1,070.33 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |