| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,643.08 | $2,643.08 | $2,643.08 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $367.01 | $367.01 | $367.01 | |
Providence
| Facility | $179.96 | $246.97 | $358.00 |