| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $368.97 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $19,416.50 | $69,552.58 | $107,928.96 | |
Providence
| Facility | $372.58 | $562.41 | $1,000.45 | |
United
| Facility | $3,363.00 | $30,855.00 | $37,047.00 |