| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,229.10 | $4,229.10 | $5,479.65 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $796.59 | $796.59 | $796.59 | |
Providence
| Facility | $394.67 | $542.66 | $796.59 |