| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,191.54 | $7,191.54 | $7,191.54 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,756.17 | $1,756.17 | $1,756.17 | |
Providence
| Facility | $870.30 | $1,196.67 | $1,756.17 |