| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,554.90 | $22,554.90 | $22,554.90 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $2,999.16 | $2,999.16 | $2,999.16 | |
Providence
| Facility | $1,483.39 | $2,039.66 | $2,999.16 |