| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $3,260.83 | $8,226.04 | |
BCBS
| Facility | $26,634.42 | $92,227.89 | $143,115.62 | |
Providence
| Facility | $1,524.10 | $1,956.66 | $3,304.30 | |
United
| Facility | $1,657.00 | $21,608.00 | $23,542.00 |