| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $2,089.30 | $8,912.51 | |
BCBS
| Facility | $5,248.07 | $16,218.10 | $25,703.96 | |
Providence
| Facility | $758.58 | $1,258.93 | $2,187.76 | |
United
| Facility | $891.25 | $11,220.18 | $21,877.62 |