| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,616.06 | $3,616.06 | $3,616.06 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $765.56 | $765.56 | $765.56 | |
Providence
| Facility | $465.17 | $598.26 | $838.06 |