| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.69 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $1,723.10 | $5,966.62 | $9,258.76 | |
Providence
| Facility | $311.94 | $398.11 | $498.39 | |
United
| Facility | $3,085.00 | $3,503.00 | $5,262.00 |