| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,034.60 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $9,917.44 | $33,110.37 | $53,087.42 | |
Providence
| Facility | $814.29 | $1,091.70 | $1,331.68 | |
United
| Facility | $10,609.00 | $21,608.00 | $23,542.00 |