| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $289.19 | $289.19 | $289.19 | |
Providence
| Facility | $169.15 | $289.19 | $1,120.00 | |
United
| Facility | $200.00 | $200.00 | $200.00 |