| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,411.25 | $1,411.25 | $1,411.25 | |
Providence
| Facility | $694.03 | $924.97 | $1,411.25 | |
United
| Facility | $1,108.04 | $1,108.04 | $1,108.04 |