| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,489.20 | $22,489.20 | $22,489.20 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,269.28 | $1,269.28 | $1,269.28 | |
Providence
| Facility | $623.59 | $836.10 | $1,269.28 |