| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,412.70 | $4,412.70 | $4,412.70 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,187.78 | $1,187.78 | $1,187.78 | |
Providence
| Facility | $539.80 | $737.16 | $1,187.78 |