| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $721.80 | $721.80 | $12,539.70 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $715.61 | $715.61 | $715.61 | |
Providence
| Facility | $357.71 | $461.46 | $921.95 |