| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $2,379.07 | $8,644.27 | |
BCBS
| Facility | $6,565.80 | $15,751.42 | $26,387.82 | |
Providence
| Facility | $589.23 | $723.14 | $748.14 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |