| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $764.58 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $2,364.73 | $8,671.01 | $14,129.29 | |
Providence
| Facility | $689.03 | $839.97 | $1,164.93 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 |