| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $502.44 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $2,580.54 | $8,615.39 | $13,813.46 | |
Providence
| Facility | $578.91 | $802.88 | $1,021.84 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |