| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $922.52 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $4,929.67 | $16,458.21 | $26,388.22 | |
Providence
| Facility | $806.22 | $1,026.09 | $1,204.84 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |