| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $897.08 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $843.96 | $2,024.66 | $3,391.84 | |
Providence
| Facility | $128.19 | $128.19 | $567.38 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |