| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.00 | $255.00 | $19,658.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $811.84 | $811.84 | $811.84 | |
Providence
| Facility | $403.23 | $504.04 | $811.84 |