| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57,046.00 | $57,046.00 | $57,046.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $568.91 | $568.91 | $568.91 | |
Providence
| Facility | $281.97 | $1,692.80 | $4,968.43 |