| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,915.69 | $11,915.69 | $11,915.69 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $725.08 | $725.08 | $725.08 | |
Providence
| Facility | $362.50 | $485.50 | $725.08 |