| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $5,195.03 | $12,462.93 | $20,878.73 | |
Providence
| Facility | $990.71 | $1,260.90 | $1,420.79 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |