| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,025.84 | $2,025.84 | $2,025.84 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $223.47 | $223.47 | $223.47 | |
Providence
| Facility | $137.27 | $219.63 | $296.64 |