| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $10,647.57 | $25,543.65 | $42,792.41 | |
Providence
| Facility | $986.13 | $1,214.58 | $1,252.78 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |