| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $22,611.48 | $22,611.48 | $22,611.48 | |
Providence
| Facility | $9,039.21 | $9,039.21 | $22,611.48 | |
United
| Facility | $12,558.00 | $12,558.00 | $12,558.00 |