| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,464.39 | $15,464.39 | $15,464.39 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,081.57 | $1,081.57 | $1,081.57 | |
Providence
| Facility | $534.99 | $735.61 | $1,081.57 |