| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4,750.00 | $40,750.00 | $47,500.00 | |
Cigna
| Facility | $24,948.99 | $24,948.99 | $24,948.99 | |
Providence
| Facility | $10,205.57 | $10,205.57 | $24,948.99 | |
United
| Facility | $3,800.00 | $3,800.00 | $3,800.00 |