| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,910.62 | $3,910.62 | $4,440.60 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $789.23 | $789.23 | $789.23 | |
Providence
| Facility | $390.22 | $563.13 | $789.23 |