| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $16,614.22 | $55,468.25 | $88,934.84 | |
Providence
| Facility | $882.25 | $1,122.85 | $1,344.98 | |
United
| Facility | $11,834.00 | $25,932.00 | $25,932.00 |