| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $758.58 | $7,762.47 | |
BCBS
| Facility | $2,344.23 | $7,943.28 | $12,302.69 | |
Providence
| Facility | $316.23 | $478.63 | $741.31 | |
United
| Facility | $645.65 | $6,606.93 | $14,125.38 |