| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,143.69 | $8,763.29 | |
BCBS
| Facility | $3,025.15 | $10,475.31 | $16,255.17 | |
Providence
| Facility | $637.60 | $820.33 | $1,402.50 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |