| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $725.99 | $2,103.42 | $4,192.20 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $103.06 | $103.06 | $103.06 | |
Providence
| Facility | $50.65 | $92.30 | $115.38 | |
United
| Facility | $146.16 | $146.16 | $146.16 |