| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.74 | $2,873.00 | $8,763.29 | |
BCBS
| Facility | $1,769.16 | $6,126.13 | $9,506.29 | |
Providence
| Facility | $149.91 | $259.88 | $366.00 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |