| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,755.35 | $5,755.35 | $5,755.35 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $987.98 | $987.98 | $987.98 | |
Providence
| Facility | $483.38 | $664.64 | $987.98 |