| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.53 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $54.92 | $54.92 | $599.54 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |