| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,493.42 | $4,493.42 | $4,493.42 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $249.76 | $249.76 | $249.76 | |
Providence
| Facility | $161.61 | $268.87 | $431.37 |