| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,078.00 | $23,723.90 | $32,819.30 | |
BCBS
| Facility | $801.71 | $1,388.00 | $5,173.85 | |
Providence
| Facility | $10,085.95 | $10,085.95 | $10,085.95 | |
United
| Facility | $5,419.00 | $15,791.02 | $24,484.22 |