| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $671.66 | $4,213.13 | $8,763.29 | |
BCBS
| Facility | $2,959.63 | $9,881.04 | $15,842.73 | |
Providence
| Facility | $581.83 | $740.52 | $781.04 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |