| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,492.32 | $25,186.60 | $25,186.60 | |
Providence
| Facility | $6,418.10 | $6,418.10 | $6,641.25 | |
Providence
| Professional | $4,249.85 | $6,627.48 | $10,653.12 | |
United
| Professional | $6,319.35 | $8,476.53 | $13,319.99 |