| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,509.00 | $2,509.00 | $2,509.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $446.40 | $446.40 | $446.40 | |
Providence
| Facility | $219.20 | $609.04 | $639.46 |