| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.09 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $877.75 | $3,218.55 | $5,244.59 | |
Providence
| Facility | $71.05 | $183.67 | $233.02 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |