| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Providence
| Facility | $591.05 | $591.05 | $738.83 | |
Providence
| Professional | $666.05 | $666.05 | $886.60 | |
United
| Professional | $1,690.14 | $1,988.40 | $2,319.80 |