| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $2,089.30 | $8,912.51 | |
BCBS
| Facility | $5,248.07 | $15,488.17 | $24,547.09 | |
Providence
| Facility | $1,148.15 | $1,698.24 | $2,884.03 | |
United
| Facility | $891.25 | $11,220.18 | $25,703.96 |