| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $27,778.65 | $92,741.80 | $148,697.26 | |
Providence
| Facility | $636.28 | $1,010.98 | $1,076.20 | |
United
| Facility | $28,768.00 | $46,929.00 | $46,929.00 |