| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,282.10 | $2,282.10 | $2,282.10 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $249.23 | $249.23 | $249.23 | |
Providence
| Facility | $153.40 | $335.74 | $3,505.70 |