| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,440.60 | $5,755.35 | $14,425.52 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,015.32 | $1,015.32 | $1,015.32 | |
Providence
| Facility | $503.25 | $691.97 | $1,015.32 |