| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,023.00 | $93,927.00 | $129,937.00 | |
BCBS
| Facility | $1,146.00 | $3,000.00 | $40,212.07 | |
Providence
| Facility | $47,021.20 | $47,021.20 | $47,021.20 | |
United
| Facility | $5,419.00 | $62,519.31 | $96,937.16 |