| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,629.59 | $2,922.00 | $8,226.04 | |
BCBS
| Facility | $6,835.87 | $16,399.33 | $27,473.25 | |
Providence
| Facility | $1,265.28 | $1,672.48 | $1,672.48 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |