| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,878.50 | $120,257.00 | $166,361.00 | |
BCBS
| Facility | $1,146.00 | $3,000.00 | $30,579.59 | |
Providence
| Facility | $35,837.68 | $35,837.68 | $35,837.68 | |
United
| Facility | $5,419.00 | $80,044.92 | $124,110.91 |