| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,725.60 | $10,725.60 | $10,725.60 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $381.21 | $381.21 | $381.21 | |
Providence
| Facility | $189.09 | $464.10 | $473.11 |