| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,075.05 | $2,791.97 | $8,763.29 | |
BCBS
| Facility | $4,771.37 | $17,091.71 | $26,522.24 | |
Providence
| Facility | $1,016.91 | $1,346.66 | $1,882.67 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |