| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,396.94 | $5,806.78 | $25,642.56 | |
BCBS
| Facility | $8,664.74 | $31,038.28 | $48,163.98 | |
Providence
| Facility | $935.24 | $1,284.94 | $2,821.00 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |