| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $525.00 | $12,258.74 | $38,781.76 | |
Lucent Health
| Facility | $16,897.00 | $16,897.00 | $16,897.00 | |
Providence
| Facility | $29,447.36 | $29,447.36 | $29,447.36 | |
United
| Facility | $25,608.88 | $25,608.88 | $38,000.00 |