| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $23.80 | $23.80 | $23.80 | |
BCBS
| Professional | $23.80 | $23.80 | $23.80 | |
Cigna
| Professional | $25.75 | $25.75 | $25.75 | |
Providence
| Professional | $14.33 | $14.33 | $25.75 | |
United
| Professional | $8.63 | $9.07 | $26.01 |