| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $897.80 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $6,399.46 | $22,923.74 | $35,572.17 | |
Providence
| Facility | $763.10 | $1,022.00 | $1,331.07 | |
United
| Facility | $1,035.00 | $15,131.00 | $56,275.83 |