| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $525.00 | $6,367.61 | $20,225.64 | |
Lucent Health
| Facility | $8,408.00 | $8,408.00 | $8,408.00 | |
Providence
| Facility | $12,434.72 | $12,434.72 | $12,434.72 | |
United
| Facility | $14,170.64 | $14,170.64 | $38,000.00 |