| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,459.30 | $6,459.30 | $6,459.30 | |
Aetna
| Professional | 50 | $467.85 | $2,672.91 | $2,744.55 |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $574.70 | $574.70 | $574.70 | |
Providence
| Facility | $400.99 | $574.70 | $2,736.38 |