| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.82 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $33,476.57 | $115,920.42 | $179,880.74 | |
Providence
| Facility | $532.28 | $717.19 | $1,091.65 | |
United
| Facility | $5,893.00 | $34,079.00 | $50,228.00 |