| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,545.58 | $1,545.58 | $1,545.58 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $660.66 | $660.66 | $660.66 | |
Providence
| Professional | $660.66 | $660.66 | $2,400,000.00 |