| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,044.50 | $26,963.40 | $37,300.69 | |
BCBS
| Facility | $801.71 | $1,388.00 | $6,631.16 | |
Providence
| Facility | $9,062.00 | $9,062.00 | $9,062.00 | |
United
| Facility | $5,419.00 | $17,947.28 | $27,827.53 |