| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,746.90 | $1,746.90 | $1,746.90 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $150.38 | $150.38 | $150.38 | |
Providence
| Facility | $74.81 | $150.38 | $258.95 |