| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $1,563.27 | $3,750.30 | $6,282.74 | |
Providence
| Facility | $72.34 | $72.34 | $72.34 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |