| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,456.92 | $5,456.92 | $5,456.92 | |
Lucent Health
| Facility | $97.64 | $100.00 | $105.15 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 | |
Wellpoint
| Professional | $750.00 | $750.00 | $750.00 |