| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $6,879.58 | $33,316.26 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,039.51 | $1,039.51 | $1,039.51 | |
Providence
| Facility | $513.80 | $1,473.55 | $1,507.88 |