| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $632.69 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $2,807.61 | $11,114.90 | $17,261.30 | |
Providence
| Facility | $590.94 | $789.92 | $943.86 | |
United
| Facility | $790.00 | $9,127.00 | $31,244.66 |