| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.32 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $604.58 | $857.08 | $1,456.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |