| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $8,942.39 | $15,694.00 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $1,725.45 | $2,196.03 | $2,435.82 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |