| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.72 | $2,196.17 | $7,627.60 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $563.13 | $563.13 | $563.13 | |
Providence
| Facility | $346.84 | $700.89 | $967.73 |