| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,871.35 | $6,871.35 | $6,871.35 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,398.63 | $1,398.63 | $1,398.63 | |
Providence
| Facility | $686.91 | $1,556.10 | $1,641.34 |