| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,430.00 | $40,750.00 | $47,500.00 | |
Cigna
| Facility | $23,291.31 | $23,291.31 | $23,291.31 | |
Providence
| Facility | $9,052.69 | $9,052.69 | $23,291.31 | |
United
| Facility | $3,800.00 | $3,800.00 | $3,800.00 |