| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $6,222.88 | $8,226.04 | |
BCBS
| Facility | $5,553.63 | $12,845.61 | $20,595.97 | |
Providence
| Facility | $929.13 | $1,182.54 | $1,329.78 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |