| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $2,433.19 | $27,104.94 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $2,875.60 | $2,875.60 | $2,875.60 | |
Providence
| Facility | $1,420.02 | $1,529.28 | $2,875.60 |