| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $5,754.40 | $8,709.64 | |
BCBS
| Facility | $6,025.60 | $13,182.57 | $21,379.62 | |
Providence
| Facility | $1,000.00 | $1,412.54 | $3,388.44 | |
United
| Facility | $1,023.29 | $15,135.61 | $23,988.33 |