| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,725.50 | $29,246.00 | $40,458.40 | |
BCBS
| Facility | $801.71 | $1,388.00 | $5,665.82 | |
Providence
| Facility | $14,049.32 | $14,049.32 | $14,049.32 | |
United
| Facility | $5,419.00 | $19,466.59 | $30,183.25 |