| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,337.91 | $5,337.91 | $13,592.45 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,203.03 | $1,203.03 | $1,203.03 | |
Providence
| Facility | $595.66 | $753.38 | $1,203.03 |