| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.87 | $30.87 | $30.87 | |
BCBS
| Professional | $30.87 | $30.87 | $30.87 | |
Cigna
| Professional | $33.40 | $33.40 | $33.40 | |
Providence
| Professional | $20.74 | $20.74 | $36.86 | |
United
| Professional | $13.82 | $16.55 | $39.45 |