| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.89 | $4,884.75 | $4,884.75 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,129.42 | $1,129.42 | $1,129.42 | |
Providence
| Facility | $555.44 | $694.30 | $1,129.42 |