| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,295.54 | $4,446.00 | $5,000.27 | |
BCBS
| Facility | $56,799.99 | $150,554.90 | $241,391.71 | |
Providence
| Facility | $1,056.72 | $1,056.72 | $1,056.72 | |
United
| Facility | $16,706.00 | $34,586.00 | $34,586.00 |