| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,229.10 | $4,229.10 | $4,677.33 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,133.09 | $1,133.09 | $1,133.09 | |
Providence
| Facility | $560.72 | $770.99 | $1,133.09 |