| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $549.54 | $7,762.47 | |
BCBS
| Facility | $8,317.64 | $18,197.01 | $29,512.09 | |
Providence
| Facility | $407.38 | $562.34 | $1,412.54 | |
United
| Facility | $1,023.29 | $21,379.62 | $56,234.13 |