| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $719.31 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $684.88 | $933.90 | $1,700.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |