| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,954.20 | $8,954.20 | $8,954.20 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $864.42 | $864.42 | $864.42 | |
Providence
| Facility | $428.07 | $588.60 | $864.42 |