| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,540.81 | $2,579.33 | $7,838.38 | |
BCBS
| Facility | $21,507.69 | $51,597.20 | $80,066.50 | |
Providence
| Facility | $1,055.08 | $1,309.70 | $1,400.58 | |
United
| Facility | $11,834.00 | $25,932.00 | $25,932.00 |