| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $1,674.42 | $2,240.80 | $3,502.00 | |
United
| Facility | $3,085.00 | $5,089.00 | $17,636.00 |