| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,724.00 | $9,532.00 | $11,735.20 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $901.22 | $901.22 | $901.22 | |
Providence
| Facility | $444.28 | $555.35 | $901.22 |