| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,021.02 | $4,021.02 | $4,021.02 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $535.26 | $535.26 | $535.26 | |
Providence
| Facility | $535.26 | $652.60 | $672.98 |