| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $100.43 | $100.43 | $100.43 | |
Providence
| Facility | $100.43 | $390.65 | $418.08 | |
United
| Facility | $220.92 | $220.92 | $3,106.88 |