| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
Aetna
| Facility | 53 | $113.41 | $113.41 | $113.41 |
BCBS
| Facility | $29,790.24 | $69,385.35 | $110,478.84 | |
Providence
| Facility | $535.74 | $681.84 | $782.13 | |
United
| Facility | $11,834.00 | $31,343.00 | $31,343.00 |