| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36,516.40 | $69,619.89 | $107,198.00 | |
BCBS
| Facility | $500.00 | $1,289.00 | $2,571.00 | |
Providence
| Facility | $43,403.76 | $43,403.76 | $43,403.76 | |
United
| Facility | $5,257.00 | $51,934.40 | $118,735.02 |