| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 50 | $27,447.67 | $27,447.67 | $27,447.67 |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $737.70 | $737.70 | $737.70 | |
Providence
| Facility | $363.90 | $454.88 | $737.70 |