| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $1,949.84 | $7,762.47 | |
BCBS
| Facility | $4,168.69 | $9,120.11 | $14,791.08 | |
Providence
| Facility | $1,288.25 | $1,819.70 | $3,090.30 | |
United
| Facility | $645.65 | $6,606.93 | $28,840.32 |