| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,090.61 | $19,600.59 | $33,574.73 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,553.21 | $1,553.21 | $1,553.21 | |
Providence
| Facility | $763.59 | $1,727.05 | $1,820.97 |