| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,835.01 | $4,835.01 | $4,835.01 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $921.73 | $921.73 | $921.73 | |
Providence
| Facility | $455.22 | $697.51 | $1,061.93 |