| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,917.00 | $3,917.00 | $3,917.00 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $546.30 | $546.30 | $546.30 | |
Providence
| Facility | $337.16 | $482.03 | $628.71 |