| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,518.89 | $4,518.89 | $4,518.89 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $364.38 | $364.38 | $364.38 | |
Providence
| Facility | $179.60 | $442.12 | $442.12 |