| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $407.38 | $7,762.47 | |
BCBS
| Facility | $1,479.11 | $3,235.94 | $5,248.07 | |
Providence
| Facility | $79.43 | $194.98 | $380.19 | |
United
| Facility | $416.87 | $2,511.89 | $3,090.30 |