| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,660.00 | $40,750.00 | $47,500.00 | |
Cigna
| Facility | $39,341.92 | $39,341.92 | $39,341.92 | |
Providence
| Facility | $12,844.28 | $12,844.28 | $39,341.92 | |
United
| Facility | $21,849.00 | $21,849.00 | $21,849.00 |