| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6,175.77 | $6,175.77 | $6,175.77 | |
BCBS
| Professional | $1,503.26 | $1,503.26 | $1,503.26 | |
Providence
| Professional | $941.06 | $1,141.84 | $1,779.81 | |
United
| Professional | $1,026.45 | $1,354.75 | $2,676.96 |