| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $16,504.66 | $25,997.29 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,050.02 | $1,050.02 | $1,050.02 | |
Providence
| Facility | $520.22 | $715.31 | $1,050.02 |