| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $4,862.84 | $11,666.00 | $19,543.66 | |
Providence
| Facility | $134.13 | $170.72 | $185.89 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |