| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,119.96 | $35,119.96 | $35,119.96 | |
BCBS
| Facility | $64,999.99 | $82,999.99 | $94,999.99 | |
Cigna
| Facility | $626.23 | $626.23 | $626.23 | |
Providence
| Facility | $626.23 | $626.23 | $626.23 |