| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $4,148.39 | $13,849.80 | $22,206.03 | |
Providence
| Facility | $766.02 | $1,059.23 | $1,178.50 | |
United
| Facility | $7,315.00 | $11,259.00 | $12,494.00 |