| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $2,398.83 | $7,762.47 | |
BCBS
| Facility | $5,011.87 | $10,964.78 | $17,782.79 | |
Providence
| Facility | $269.15 | $912.01 | $2,884.03 | |
United
| Facility | $645.65 | $6,606.93 | $16,218.10 |