| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $770.41 | $2,824.96 | $4,603.22 | |
Providence
| Facility | $891.25 | $1,142.66 | $1,483.66 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |