| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.21 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $4,345.93 | $14,509.34 | $23,263.50 | |
Providence
| Facility | $880.11 | $1,176.24 | $1,464.52 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |