| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,378.00 | $5,548.76 | $12,937.34 | |
BCBS
| Facility | $7,115.49 | $17,070.15 | $28,597.04 | |
Providence
| Facility | $763.95 | $972.30 | $1,091.82 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |