| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,477.43 | $4,477.43 | $4,477.43 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $380.15 | $380.15 | $380.15 | |
Providence
| Facility | $234.15 | $371.70 | $500.31 |