| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $483.00 | $714.00 | $1,732.50 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 | |
Wellpoint
| Professional | $40.01 | $40.01 | $54.01 |