| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.18 | $137.47 | $2,929.00 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $165.00 | $165.00 | $165.00 | |
Providence
| Facility | $137.47 | $137.47 | $137.47 | |
Providence
| Professional | $165.00 | $165.00 | $2,400,000.00 |