| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $626.55 | $3,884.55 | $5,283.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $571.54 | $571.54 | $571.54 | |
Providence
| Facility | $286.33 | $443.44 | $702.37 |