| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,212.35 | $5,212.35 | $5,212.35 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $674.08 | $674.08 | $674.08 | |
Providence
| Facility | $335.42 | $504.53 | $792.22 |