| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,062.00 | $11,062.00 | $11,062.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,747.76 | $1,747.76 | $1,747.76 | |
Providence
| Facility | $1,120.00 | $1,470.56 | $2,565.00 | |
United
| Facility | $2,090.00 | $2,090.00 | $2,090.00 |