| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41,585.85 | $41,585.85 | $41,585.85 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,526.92 | $1,526.92 | $1,526.92 | |
Providence
| Facility | $755.17 | $1,038.35 | $1,526.92 |