| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $478.63 | $7,762.47 | |
BCBS
| Facility | $56,234.13 | $69,183.10 | $81,283.05 | |
Providence
| Facility | $323.59 | $489.78 | $724.44 | |
United
| Facility | $1,023.29 | $10,715.19 | $21,379.62 |