| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.26 | $5,134.50 | $28,577.07 | |
BCBS
| Facility | $3,089.28 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $470.59 | $470.59 | $559.38 | |
Providence
| Facility | $470.59 | $470.59 | $559.38 |