| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $545.52 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $569.19 | $750.31 | $837.39 | |
United
| Facility | $3,085.00 | $5,060.00 | $17,636.00 |