| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,791.00 | $1,791.00 | $5,901.27 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $226.62 | $226.62 | $226.62 | |
Providence
| Facility | $112.10 | $256.10 | $273.24 |