| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,133.46 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $6,812.51 | $16,343.29 | $27,379.36 | |
Providence
| Facility | $1,001.65 | $1,538.66 | $1,538.66 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |