| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,984.00 | $23,408.90 | $32,383.40 | |
BCBS
| Facility | $801.71 | $1,388.00 | $5,989.46 | |
Providence
| Facility | $8,775.87 | $8,775.87 | $8,775.87 | |
United
| Facility | $5,419.00 | $15,581.30 | $24,159.05 |