| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Providence
| Facility | $118.44 | $118.44 | $118.44 | |
Providence
| Professional | $61.25 | $78.95 | $115.15 | |
United
| Professional | $318.42 | $333.95 | $636.12 |