| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $930.14 | $930.14 | $930.14 | |
Providence
| Facility | $570.97 | $714.12 | $957.60 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |