| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $347.13 | $347.13 | $347.13 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $2,087.42 | $2,087.42 | $2,087.42 | |
Providence
| Facility | $1,030.85 | $1,374.96 | $2,087.42 |