| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.45 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $424.34 | $561.00 | $734.16 | |
United
| Facility | $230.00 | $1,158.00 | $1,327.00 |