| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,005.65 | $2,005.65 | $2,005.65 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Providence
| Facility | $529.69 | $779.68 | $1,178.34 | |
United
| Facility | $896.85 | $896.85 | $6,489.22 |