| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $6,606.93 | $7,762.47 | |
BCBS
| Facility | $11,220.18 | $24,547.09 | $39,810.72 | |
Providence
| Facility | $512.86 | $1,621.81 | $10,715.19 | |
United
| Facility | $1,023.29 | $15,135.61 | $46,773.51 |