| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,124.40 | $1,124.40 | $1,124.40 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $367.01 | $367.01 | $367.01 | |
Providence
| Facility | $181.06 | $478.40 | $509.16 |