| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $433.08 | $433.08 | $433.08 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $585.22 | $585.22 | $585.22 | |
Providence
| Facility | $292.42 | $377.77 | $753.98 |