| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,146.77 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $6,272.92 | $15,048.81 | $25,210.77 | |
Providence
| Facility | $1,105.36 | $1,406.85 | $1,574.82 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |