| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,613.04 | $17,613.04 | $17,613.04 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,780.88 | $1,780.88 | $1,780.88 | |
Providence
| Facility | $879.61 | $1,209.46 | $1,780.88 |