| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.66 | $7,838.38 | $7,838.38 | |
BCBS
| Facility | $5,080.02 | $11,750.14 | $20,416.50 | |
Providence
| Facility | $528.82 | $673.04 | $759.24 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |