| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.52 | $317.52 | $1,783.49 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $219.26 | $219.26 | $219.26 | |
Providence
| Facility | $109.19 | $202.40 | $219.26 | |
United
| Facility | $176.52 | $176.52 | $176.52 |