| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $2,925.42 | $7,018.11 | $11,757.21 | |
Providence
| Facility | $857.98 | $1,091.97 | $1,197.76 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |