| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,831.50 | $32,953.10 | $45,586.70 | |
BCBS
| Facility | $801.71 | $1,388.00 | $6,530.26 | |
Providence
| Facility | $12,523.96 | $12,523.96 | $12,523.96 | |
United
| Facility | $5,419.00 | $21,934.08 | $34,009.12 |