| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $878.61 | $878.61 | $878.61 | |
Providence
| Facility | $436.82 | $546.03 | $1,024.65 | |
United
| Facility | $691.44 | $691.44 | $3,240.48 |