| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,042.87 | $5,042.87 | $5,042.87 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $298.13 | $298.13 | $298.13 | |
Providence
| Facility | $184.41 | $401.94 | $1,209.66 |