| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,879.63 | $12,879.63 | $12,879.63 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $977.46 | $977.46 | $977.46 | |
Providence
| Facility | $570.76 | $966.58 | $1,106.88 |