| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,834.20 | $1,834.20 | $1,834.20 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $482.68 | $482.68 | $482.68 | |
Providence
| Facility | $289.57 | $382.32 | $530.66 |