| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $695.70 | $695.70 | $695.70 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $505.82 | $505.82 | $505.82 | |
Providence
| Facility | $319.99 | $502.72 | $898.31 |