| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.65 | $38.59 | $38.59 | |
BCBS
| Facility | $64,999.99 | $79,999.99 | $94,999.99 | |
Cigna
| Professional | $125.40 | $125.40 | $125.40 | |
Providence
| Professional | $125.40 | $125.40 | $2,250,000.00 |