| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.89 | $1,209.59 | $4,936.85 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $329.15 | $329.15 | $329.15 | |
Providence
| Facility | $162.47 | $376.35 | $401.01 |