| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,942.39 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $818.67 | $1,041.95 | $1,270.63 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |