| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.75 | $2,464.75 | $2,464.75 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $307.07 | $307.07 | $307.07 | |
Providence
| Facility | $152.91 | $198.47 | $414.44 |