| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $70.79 | |
BCBS
| Facility | $56,234.13 | $69,183.10 | $81,283.05 | |
Providence
| Facility | $51.29 | $173.78 | $457.09 | |
United
| Facility | $229.09 | $1,096.48 | $1,412.54 |