| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $2,481.00 | $8,644.27 | |
BCBS
| Facility | $3,565.77 | $11,904.68 | $19,087.33 | |
Providence
| Facility | $555.77 | $1,025.79 | $1,153.26 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |