| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $4,552.54 | $16,307.81 | $25,305.82 | |
Providence
| Facility | $914.52 | $1,181.28 | $1,564.00 | |
United
| Facility | $7,315.00 | $11,259.00 | $14,287.46 |