| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $477.21 | $477.21 | $477.21 | |
Cigna
| Facility | $516.39 | $516.39 | $516.39 | |
Cigna
| Professional | $516.39 | $516.39 | $516.39 | |
Providence
| Facility | $516.39 | $516.39 | $516.39 | |
Providence
| Professional | $320.52 | $320.52 | $516.39 | |
United
| Professional | $149.57 | $149.57 | $356.13 |