| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 50 | $3,570.00 | $3,570.00 | $3,570.00 |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $630.42 | $630.42 | $630.42 | |
Providence
| Facility | $356.78 | $463.42 | $890.26 |