| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,327.50 | $28,327.50 | $28,327.50 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $600.46 | $600.46 | $600.46 | |
Providence
| Facility | $600.46 | $600.46 | $600.46 |