| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,553.96 | $3,553.96 | $3,553.96 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $389.09 | $389.09 | $389.09 | |
Providence
| Facility | $193.02 | $389.09 | $1,050.57 |