| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,490.42 | $7,490.42 | $7,490.42 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $520.02 | $520.02 | $520.02 | |
Providence
| Facility | $257.07 | $602.54 | $623.65 |