| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,351.51 | $6,351.51 | $9,151.49 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $838.13 | $838.13 | $838.13 | |
Providence
| Facility | $416.14 | $572.20 | $838.13 |