| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,230.00 | $40,750.00 | $47,500.00 | |
Cigna
| Facility | $57,159.64 | $57,159.64 | $57,159.64 | |
Providence
| Facility | $16,916.65 | $16,916.65 | $57,159.64 | |
United
| Facility | $5,700.00 | $5,700.00 | $31,744.00 |