| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,712.88 | $4,712.88 | $4,712.88 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $887.55 | $887.55 | $887.55 | |
Providence
| Facility | $520.63 | $686.17 | $965.83 |