| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,324.50 | $64,771.60 | $89,603.80 | |
BCBS
| Facility | $801.71 | $1,388.00 | $12,780.32 | |
Providence
| Facility | $24,929.24 | $24,929.24 | $24,929.24 | |
United
| Facility | $5,419.00 | $43,112.96 | $66,847.31 |