| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,354.50 | $17,947.09 | $24,827.70 | |
BCBS
| Facility | $801.71 | $1,388.00 | $8,538.12 | |
Providence
| Facility | $8,715.16 | $8,715.16 | $8,715.16 | |
United
| Facility | $5,033.22 | $11,945.89 | $18,522.29 |