| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $4,135.39 | $13,806.43 | $22,136.49 | |
Providence
| Facility | $763.41 | $1,053.86 | $1,065.20 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |