| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,869.62 | $2,869.62 | $2,869.62 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $311.27 | $311.27 | $311.27 | |
Providence
| Facility | $191.75 | $343.13 | $473.11 |