| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,351.51 | $6,351.51 | $8,243.83 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $625.17 | $625.17 | $625.17 | |
Providence
| Facility | $308.74 | $385.93 | $625.17 |