| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $2,137.96 | $19,054.61 | |
BCBS
| Facility | $56,234.13 | $69,183.10 | $81,283.05 | |
Providence
| Facility | $478.63 | $676.08 | $1,174.90 | |
United
| Facility | $229.09 | $1,096.48 | $35,481.34 |