| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,916.46 | $8,763.29 | |
BCBS
| Facility | $2,419.71 | $8,378.81 | $13,001.91 | |
Providence
| Facility | $440.50 | $544.00 | $738.00 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |