| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $560.04 | $560.04 | $733.77 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $284.45 | $284.45 | $606.88 | |
Providence
| Facility | $284.45 | $486.85 | $606.88 |