| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,185.00 | $77,711.10 | $107,504.00 | |
BCBS
| Facility | $1,146.00 | $3,000.00 | $38,924.94 | |
Providence
| Facility | $43,403.76 | $43,403.76 | $43,403.76 | |
United
| Facility | $5,419.00 | $51,725.74 | $80,201.55 |