| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.89 | $8,219.42 | $14,060.15 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $977.46 | $977.46 | $977.46 | |
Providence
| Facility | $479.37 | $1,173.90 | $1,242.85 |