| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $433.08 | $433.08 | $13,427.04 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $582.05 | $582.05 | $582.05 | |
Providence
| Facility | $290.77 | $375.73 | $749.25 |