| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $4,297.42 | $7,838.38 | |
BCBS
| Facility | $3,232.27 | $10,791.27 | $17,302.15 | |
Providence
| Facility | $445.20 | $577.75 | $711.06 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |