| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $134.90 | $2,137.96 | |
BCBS
| Facility | $933.25 | $2,041.74 | $3,388.44 | |
Providence
| Facility | $75.86 | $120.23 | $218.78 | |
United
| Facility | $416.87 | $2,511.89 | $2,884.03 |