| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $844.22 | $7,838.38 | $8,644.27 | |
BCBS
| Facility | $15,330.00 | $56,212.04 | $82,373.20 | |
Providence
| Facility | $730.58 | $778.59 | $1,047.33 | |
United
| Facility | $1,657.00 | $21,608.00 | $23,542.00 |