| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,662.57 | $5,662.57 | $7,136.14 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $981.67 | $981.67 | $981.67 | |
Providence
| Facility | $479.77 | $659.68 | $981.67 |