| 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 | $2,667.74 | $4,469.18 | |
Providence
| Facility | $205.36 | $261.37 | $277.99 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |