| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,460.39 | $4,460.39 | $4,460.39 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,415.45 | $1,415.45 | $1,415.45 | |
Providence
| Facility | $697.05 | $1,659.45 | $1,738.74 |