| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $33,616.87 | $33,616.87 | $33,616.87 | |
Providence
| Facility | $12,671.50 | $12,671.50 | $33,616.87 | |
United
| Facility | $18,670.00 | $18,670.00 | $18,670.00 |