| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,705.76 | $3,705.76 | $3,705.76 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $292.33 | $292.33 | $292.33 | |
Providence
| Facility | $144.94 | $292.33 | $843.32 |