| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,116.90 | $1,116.90 | $18,783.39 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $527.90 | $527.90 | $527.90 | |
Providence
| Facility | $262.54 | $360.99 | $527.90 |