| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,769.28 | $10,100.90 | $13,770.73 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $606.77 | $606.77 | $606.77 | |
Providence
| Facility | $299.67 | $796.25 | $812.76 |