| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,580.24 | $5,580.24 | $5,580.24 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $894.39 | $894.39 | $894.39 | |
Providence
| Facility | $444.09 | $555.11 | $780.51 |