| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,872.04 | $2,872.04 | $2,872.04 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $146.69 | $146.69 | $146.69 | |
Providence
| Facility | $146.69 | $453.70 | $482.60 |