| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $1,000.00 | $7,762.47 | |
BCBS
| Facility | $56,234.13 | $69,183.10 | $81,283.05 | |
Providence
| Facility | $199.53 | $275.42 | $691.83 | |
United
| Facility | $229.09 | $1,096.48 | $1,412.54 |