| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $5,027.04 | $12,059.92 | $20,203.58 | |
Providence
| Facility | $337.64 | $337.64 | $337.64 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |