| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,284.00 | $1,284.00 | $1,284.00 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $135.66 | $135.66 | $135.66 | |
Providence
| Facility | $83.96 | $590.12 | $1,354.18 |