| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $694.26 | $694.26 | $694.26 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $615.19 | $615.19 | $615.19 | |
Providence
| Facility | $303.14 | $416.81 | $615.19 |