| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $525.00 | $9,910.16 | $32,592.56 | |
Lucent Health
| Facility | $11,670.00 | $11,670.00 | $11,670.00 | |
Providence
| Facility | $21,266.72 | $21,266.72 | $21,266.72 | |
United
| Facility | $22,511.28 | $22,511.28 | $38,000.00 |