| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.66 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $590.58 | $712.64 | $959.74 | |
United
| Facility | $899.00 | $11,259.00 | $16,897.00 |