| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,992.58 | $13,992.58 | $39,482.37 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,404.94 | $1,404.94 | $1,404.94 | |
Providence
| Facility | $695.76 | $956.67 | $1,404.94 |