| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.89 | $0.89 | $3,857.94 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $669.87 | $669.87 | $669.87 | |
Providence
| Facility | $411.12 | $786.29 | $1,085.36 |