| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,954.10 | $8,954.10 | $8,954.10 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,172.01 | $1,172.01 | $1,172.01 | |
Providence
| Facility | $581.13 | $799.05 | $1,172.01 |