| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,787.29 | $3,787.29 | $3,787.29 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $646.21 | $646.21 | $646.21 | |
Providence
| Facility | $320.92 | $425.38 | $646.21 |