| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,123.00 | $4,562.60 | $8,646.98 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $491.62 | $491.62 | $491.62 | |
Providence
| Facility | $281.82 | $551.85 | $588.86 |