| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.95 | $30,978.23 | $45,409.08 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,284.00 | $1,284.00 | $1,526.25 | |
Providence
| Facility | $1,284.00 | $1,284.00 | $1,526.25 |