| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.91 | $7,838.38 | $20,542.53 | |
BCBS
| Facility | $20,838.68 | $69,572.00 | $111,548.04 | |
Providence
| Facility | $490.72 | $686.48 | $852.11 | |
United
| Facility | $16,706.00 | $34,586.00 | $34,586.00 |