| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.00 | $152.00 | $557.60 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $147.75 | $147.75 | $147.75 | |
Providence
| Facility | $83.14 | $153.97 | $383.87 |