| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,942.39 | |
BCBS
| Facility | $3,643.21 | $8,426.79 | $13,511.07 | |
Providence
| Facility | $700.11 | $903.95 | $1,128.77 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |