| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $9,924.61 | $33,134.32 | $53,125.80 | |
Providence
| Facility | $372.27 | $510.00 | $528.51 | |
United
| Facility | $10,609.00 | $31,343.00 | $31,343.00 |