| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,704.50 | $15,768.50 | $21,813.80 | |
BCBS
| Facility | $801.71 | $1,388.00 | $4,475.42 | |
Providence
| Facility | $5,847.52 | $5,847.52 | $5,847.52 | |
United
| Facility | $4,422.22 | $10,495.74 | $16,273.81 |