| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $691.83 | $7,762.47 | |
BCBS
| Facility | $38,018.94 | $81,283.05 | $128,824.96 | |
Providence
| Facility | $758.58 | $831.76 | $1,862.09 | |
United
| Facility | $3,388.44 | $30,902.95 | $83,176.38 |