| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $8,940.12 | $21,447.48 | $35,930.23 | |
Providence
| Facility | $1,096.99 | $1,096.99 | $1,096.99 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |