| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $1,380.38 | $7,762.47 | |
BCBS
| Facility | $4,365.16 | $15,488.17 | $24,547.09 | |
Providence
| Facility | $512.86 | $794.33 | $1,258.93 | |
United
| Facility | $891.25 | $11,220.18 | $25,703.96 |