| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,226.04 | |
BCBS
| Facility | $5,329.01 | $19,540.40 | $31,840.80 | |
Providence
| Facility | $1,470.28 | $1,902.07 | $2,500.15 | |
United
| Facility | $9,028.00 | $15,131.00 | $21,396.00 |