| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,504.06 | $4,504.06 | $7,084.27 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,014.79 | $1,014.79 | $1,014.79 | |
Providence
| Facility | $504.78 | $694.07 | $1,014.79 |