| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,785.00 | $1,785.00 | $1,785.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $231.88 | $231.88 | $231.88 | |
Providence
| Facility | $115.40 | $150.07 | $231.88 |