| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $973.42 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $737.80 | $1,077.35 | $1,438.08 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |