| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,054.51 | $4,054.51 | $4,054.51 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $698.79 | $698.79 | $698.79 | |
Providence
| Facility | $347.74 | $530.49 | $813.20 |