| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,544.00 | $2,985.28 | $8,763.29 | |
BCBS
| Facility | $2,354.19 | $7,859.75 | $12,601.90 | |
Providence
| Facility | $349.52 | $455.22 | $559.86 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |