| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,338.92 | $4,832.10 | $6,478.83 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $726.13 | $726.13 | $726.13 | |
Providence
| Facility | $359.94 | $494.92 | $726.13 |