| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,338.50 | $9,338.50 | $9,338.50 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $1,452.26 | $1,452.26 | $1,452.26 | |
Providence
| Facility | $896.59 | $1,290.02 | $1,665.37 |