| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $2,089.30 | $8,912.51 | |
BCBS
| Facility | $5,248.07 | $13,489.63 | $21,379.62 | |
Providence
| Facility | $1,230.27 | $1,445.44 | $2,041.74 | |
United
| Facility | $891.25 | $8,912.51 | $18,197.01 |