| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,250.32 | $2,250.32 | $2,250.32 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $122.51 | $122.51 | $122.51 | |
Providence
| Facility | $78.48 | $375.11 | $844.39 |