| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $1,112.02 | $2,572.11 | $4,123.97 | |
Providence
| Facility | $249.10 | $317.04 | $337.64 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |