| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,226.04 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $1,331.35 | $1,677.47 | $2,872.31 | |
United
| Facility | $1,657.00 | $21,608.00 | $23,542.00 |