| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,356.30 | $1,356.30 | $1,356.30 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $665.66 | $665.66 | $665.66 | |
Providence
| Facility | $328.63 | $451.87 | $665.66 |