| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,461.00 | $15,461.00 | $15,461.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $704.05 | $704.05 | $704.05 | |
Providence
| Facility | $436.37 | $8,091.85 | $8,825.91 |