| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $4,365.16 | $15,488.17 | $24,547.09 | |
Providence
| Facility | $912.01 | $1,230.27 | $1,995.26 | |
United
| Facility | $645.65 | $6,606.93 | $14,454.40 |