| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.40 | $148.40 | $148.40 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 | |
Providence
| Professional | $119.30 | $119.30 | $151.97 |