| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,942.39 | |
BCBS
| Facility | $4,301.29 | $11,904.68 | $19,087.33 | |
Providence
| Facility | $296.20 | $400.49 | $407.11 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |