| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $1,202.26 | $7,762.47 | |
BCBS
| Facility | $5,370.32 | $19,054.61 | $29,512.09 | |
Providence
| Facility | $562.34 | $812.83 | $1,230.27 | |
United
| Facility | $1,023.29 | $15,135.61 | $31,622.78 |