| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,177.80 | $6,177.80 | $6,177.80 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $245.02 | $245.02 | $245.02 | |
Providence
| Facility | $120.74 | $233.57 | $356.60 |