| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $0.90 | |
Aetna
| Facility | 50 | $85.71 | $85.71 | $15,945.19 |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $282.35 | $282.35 | $282.35 | |
Providence
| Facility | $140.24 | $350.35 | $373.18 |