| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $4,877.58 | $8,763.29 | |
BCBS
| Facility | $4,552.54 | $16,307.81 | $25,305.82 | |
Providence
| Facility | $682.82 | $912.31 | $2,016.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |