| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.40 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $1,513.51 | $3,630.94 | $6,082.78 | |
Providence
| Facility | $57.69 | $76.67 | $114.69 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |