| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,332.86 | $5,332.86 | $7,808.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $974.31 | $974.31 | $974.31 | |
Providence
| Facility | $480.28 | $660.39 | $974.31 |