| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,260.77 | $1,260.77 | $10,656.62 | |
BCBS
| Facility | $6,399.46 | $22,923.74 | $35,572.17 | |
Providence
| Facility | $938.31 | $1,262.72 | $1,700.00 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |