| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $977.24 | $7,762.47 | |
BCBS
| Facility | $4,677.35 | $16,595.87 | $26,302.68 | |
Providence
| Facility | $630.96 | $851.14 | $1,258.93 | |
United
| Facility | $891.25 | $11,220.18 | $31,622.78 |