| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $5,969.03 | $14,319.77 | $23,989.43 | |
Providence
| Facility | $657.94 | $1,205.77 | $1,496.57 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |