| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $2,089.30 | $8,709.64 | |
BCBS
| Facility | $4,365.16 | $15,488.17 | $24,547.09 | |
Providence
| Facility | $1,122.02 | $1,737.80 | $2,884.03 | |
United
| Facility | $891.25 | $11,220.18 | $25,703.96 |