| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.95 | $0.95 | $31,110.40 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,203.56 | $1,203.56 | $1,203.56 | |
Providence
| Facility | $596.30 | $819.93 | $1,203.56 |