| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,577.07 | $4,577.07 | $4,577.07 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $674.60 | $674.60 | $674.60 | |
Providence
| Facility | $319.22 | $517.92 | $907.01 |