| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $2,691.53 | $8,912.51 | $14,125.38 | |
Providence
| Facility | $162.18 | $229.09 | $389.05 | |
United
| Facility | $229.09 | $1,096.48 | $1,412.54 |