| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $7,115.49 | $17,070.15 | $28,597.04 | |
Providence
| Facility | $919.33 | $1,170.05 | $1,313.43 | |
United
| Facility | $9,028.00 | $15,131.00 | $21,396.00 |