| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,982.09 | $7,801.32 | $7,801.32 | |
Providence
| Facility | $1,197.18 | $2,480.40 | $2,605.90 | |
Providence
| Professional | $1,463.51 | $2,073.35 | $3,166.80 | |
United
| Professional | $2,054.84 | $2,535.76 | $4,207.82 |