| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $2,691.53 | $7,943.28 | $12,589.25 | |
Providence
| Facility | $851.14 | $1,174.90 | $1,737.80 | |
United
| Facility | $794.33 | $9,120.11 | $31,622.78 |