| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,964.45 | $6,964.45 | $6,964.45 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $530.53 | $530.53 | $530.53 | |
Providence
| Facility | $259.39 | $530.53 | $553.44 |