| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $642.88 | $642.88 | $642.88 | |
Aetna
| Professional | $314.18 | $314.18 | $314.18 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Providence
| Facility | $348.57 | $348.57 | $348.57 | |
Providence
| Professional | $52.02 | $2,250,000.00 | $2,400,000.00 |