| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,979.30 | $5,979.30 | $5,979.30 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $958.01 | $958.01 | $958.01 | |
Providence
| Facility | $475.34 | $594.16 | $958.01 |