| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,675.41 | $7,533.00 | $11,592.77 | |
BCBS
| Facility | $6,835.87 | $16,399.33 | $27,473.25 | |
Providence
| Facility | $1,502.57 | $1,883.54 | $1,883.54 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |