| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $1,000.00 | $36,307.81 | |
BCBS
| Facility | $56,234.13 | $125,892.54 | $194,984.46 | |
Providence
| Facility | $575.44 | $660.69 | $1,548.82 | |
United
| Facility | $5,888.44 | $33,884.42 | $138,038.43 |