| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,486.80 | $1,486.80 | $6,428.73 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $396.98 | $396.98 | $396.98 | |
Providence
| Facility | $243.20 | $357.54 | $504.10 |