| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $6,826.39 | $16,376.58 | $27,435.13 | |
Providence
| Facility | $423.26 | $423.26 | $423.26 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |