| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $6,165.95 | $37,153.52 | |
BCBS
| Facility | $61,659.50 | $151,356.12 | $239,883.29 | |
Providence
| Facility | $933.25 | $1,348.96 | $3,548.13 | |
United
| Facility | $5,888.44 | $33,884.42 | $138,038.43 |