| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,544.00 | $2,619.31 | $8,763.29 | |
BCBS
| Facility | $4,771.37 | $17,091.71 | $26,522.24 | |
Providence
| Facility | $992.63 | $1,310.86 | $1,909.95 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |