| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.88 | $3,949.88 | $3,949.88 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $655.15 | $655.15 | $655.15 | |
Providence
| Facility | $324.48 | $442.15 | $655.15 |