| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $853.90 | $853.90 | $853.90 | |
Providence
| Facility | $559.92 | $853.90 | $2,223.00 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |