| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $955.90 | $955.90 | $955.90 | |
Providence
| Facility | $472.47 | $1,151.80 | $1,249.82 | |
United
| Facility | $753.45 | $753.45 | $7,373.90 |