| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,031.98 | $7,031.98 | $7,031.98 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $614.13 | $614.13 | $614.13 | |
Providence
| Facility | $303.06 | $416.70 | $614.13 |