| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,415.12 | $8,415.12 | $19,756.80 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $1,699.39 | $1,699.39 | $1,699.39 | |
Providence
| Facility | $1,047.74 | $1,510.40 | $1,963.28 |