| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4,910.00 | $40,750.00 | $47,500.00 | |
Cigna
| Facility | $22,322.78 | $22,322.78 | $22,322.78 | |
Providence
| Facility | $8,483.93 | $8,483.93 | $22,322.78 | |
United
| Facility | $5,700.00 | $5,700.00 | $12,397.00 |