| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,203.86 | $3,203.86 | $8,090.12 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $166.15 | $166.15 | $166.15 | |
Providence
| Facility | $102.13 | $164.02 | $228.64 |