| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $1,548.82 | $8,709.64 | |
BCBS
| Facility | $3,388.44 | $7,585.78 | $12,302.69 | |
Providence
| Facility | $467.74 | $707.95 | $912.01 | |
United
| Facility | $645.65 | $6,606.93 | $8,511.38 |