| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,338.93 | $5,278.74 | $9,088.20 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $638.85 | $638.85 | $638.85 | |
Providence
| Facility | $337.49 | $505.48 | $875.38 |