| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,949.80 | $6,949.80 | $6,949.80 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $347.55 | $347.55 | $347.55 | |
Providence
| Facility | $172.11 | $403.65 | $418.72 |