| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,095.00 | $4,825.09 | $8,226.04 | |
BCBS
| Facility | $5,788.36 | $15,811.44 | $25,351.22 | |
Providence
| Facility | $564.60 | $718.58 | $806.88 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |