| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.45 | $944.30 | $3,399.55 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $757.68 | $757.68 | $757.68 | |
Providence
| Facility | $374.03 | $521.59 | $757.68 |