| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $4,709.52 | $17,268.87 | $28,139.38 | |
Providence
| Facility | $350.84 | $2,990.28 | $5,738.19 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |