| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,067.30 | $2,067.30 | $4,188.33 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $379.63 | $379.63 | $379.63 | |
Providence
| Facility | $233.50 | $402.58 | $556.60 |