| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56,659.00 | $189,909.00 | $262,716.00 | |
BCBS
| Facility | $1,146.00 | $3,000.00 | $94,544.06 | |
Providence
| Facility | $128,000.52 | $128,000.52 | $128,000.52 | |
United
| Facility | $5,419.00 | $126,406.23 | $195,994.81 |