| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $650.00 | $7,331.24 | $25,328.10 | |
Lucent Health
| Facility | $33,377.30 | $54,633.37 | $54,633.37 | |
Providence
| Facility | $12,414.48 | $12,414.48 | $12,414.48 | |
United
| Facility | $12,021.68 | $12,021.68 | $12,246.96 |