| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,369.00 | $17,995.70 | $24,895.00 | |
BCBS
| Facility | $801.71 | $1,388.00 | $4,959.95 | |
Providence
| Facility | $5,769.32 | $5,769.32 | $5,769.32 | |
United
| Facility | $5,046.85 | $12,139.31 | $18,572.43 |