| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.26 | $8,667.32 | $26,867.32 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $471.12 | $471.12 | $560.00 | |
Providence
| Facility | $471.12 | $471.12 | $560.00 |