| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.66 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $22,046.88 | $76,814.27 | $118,465.24 | |
Providence
| Facility | $392.70 | $470.06 | $825.46 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |