| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,757.81 | $4,397.74 | $8,644.27 | |
BCBS
| Facility | $6,812.51 | $16,343.29 | $27,379.36 | |
Providence
| Facility | $1,334.60 | $1,698.58 | $1,970.80 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |