| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,068.90 | $4,068.90 | $22,750.07 | |
BCBS
| Facility | $64,999.99 | $82,999.99 | $94,999.99 | |
Cigna
| Facility | $1,321.34 | $1,321.34 | $1,321.34 | |
Providence
| Facility | $651.47 | $814.34 | $1,321.34 |