| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,875.98 | $4,108.62 | $10,854.37 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $946.44 | $946.44 | $946.44 | |
Providence
| Facility | $468.06 | $643.58 | $946.44 |