| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,535.40 | $10,535.40 | $27,622.12 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $2,292.48 | $2,292.48 | $2,292.48 | |
Providence
| Facility | $1,130.02 | $2,504.44 | $2,688.13 |