| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $854.12 | $3,812.68 | $8,882.33 | |
BCBS
| Facility | $5,788.36 | $15,811.44 | $25,351.22 | |
Providence
| Facility | $999.42 | $1,271.98 | $1,415.23 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |