| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $1,380.38 | $7,762.47 | |
BCBS
| Facility | $2,238.72 | $5,495.41 | $8,709.64 | |
Providence
| Facility | $446.68 | $575.44 | $954.99 | |
United
| Facility | $562.34 | $4,265.80 | $7,079.46 |