| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,230.00 | $40,750.00 | $47,500.00 | |
Cigna
| Facility | $24,681.25 | $24,681.25 | $24,681.25 | |
Providence
| Facility | $10,085.87 | $10,085.87 | $24,681.25 | |
United
| Facility | $5,700.00 | $5,700.00 | $5,700.00 |