| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.44 | $577.44 | $4,192.20 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $375.95 | $375.95 | $375.95 | |
Providence
| Facility | $185.52 | $375.95 | $1,197.11 |