| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,219.40 | $2,219.40 | $10,121.87 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $300.76 | $300.76 | $300.76 | |
Providence
| Facility | $182.81 | $367.25 | $389.62 |