| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.00 | $255.00 | $255.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $223.99 | $223.99 | $223.99 | |
Providence
| Facility | $111.78 | $146.46 | $223.99 | |
United
| Facility | $231.84 | $231.84 | $231.84 |