| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,011.30 | $5,755.35 | $19,734.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $891.76 | $891.76 | $891.76 | |
Providence
| Facility | $441.54 | $607.11 | $891.76 |