| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,725.79 | $2,725.79 | $4,934.20 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $768.72 | $768.72 | $768.72 | |
Providence
| Facility | $378.78 | $520.83 | $768.72 |