| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7,001.33 | $7,001.33 | $7,001.33 | |
Providence
| Facility | $1,051.14 | $1,445.31 | $2,457.26 | |
Providence
| Professional | $1,229.27 | $2,304.44 | $2,892.65 | |
United
| Professional | $1,798.26 | $2,172.80 | $2,459.14 |