| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,392.83 | $4,392.83 | $4,888.32 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $536.84 | $536.84 | $536.84 | |
Providence
| Facility | $265.37 | $625.29 | $647.04 |