| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.93 | $11.93 | $11.93 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $1,850.29 | $1,850.29 | $1,850.29 | |
Providence
| Facility | $1,033.52 | $1,263.71 | $2,592.81 |