| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $520.00 | $33,321.51 | $114,788.59 | |
Lucent Health
| Facility | $49,744.00 | $56,531.00 | $135,453.00 | |
Providence
| Facility | $78,665.52 | $78,665.52 | $78,665.52 | |
United
| Facility | $34,079.00 | $62,999.00 | $81,848.00 |