| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,648.50 | $99,375.40 | $137,474.00 | |
BCBS
| Facility | $1,146.00 | $3,000.00 | $48,859.67 | |
Providence
| Facility | $56,057.44 | $56,057.44 | $56,057.44 | |
United
| Facility | $5,419.00 | $66,145.80 | $102,560.09 |