| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,371.18 | $9,371.18 | $9,371.18 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,829.78 | $1,829.78 | $1,829.78 | |
Providence
| Facility | $898.15 | $1,497.46 | $2,733.43 |