| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $802.02 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $780.69 | $993.61 | $1,176.30 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |