| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,465.00 | $5,314.00 | $6,624.17 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $510.03 | $510.03 | $510.03 | |
Providence
| Facility | $252.20 | $598.00 | $616.05 |