| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,924.01 | $28,924.01 | $28,924.01 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,869.22 | $1,869.22 | $1,869.22 | |
Providence
| Facility | $921.51 | $1,992.25 | $2,130.26 |