| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,942.39 | |
BCBS
| Facility | $5,788.36 | $13,806.43 | $22,136.49 | |
Providence
| Facility | $509.94 | $697.74 | $710.02 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |