| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,000.00 | $30,199.52 | |
BCBS
| Facility | $23,442.29 | $51,286.14 | $81,283.05 | |
Providence
| Facility | $478.63 | $676.08 | $1,778.28 | |
United
| Facility | $2,511.89 | $13,489.63 | $31,622.78 |