| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $188.58 | $188.58 | $188.58 | |
BCBS
| Professional | $188.58 | $188.58 | $188.58 | |
Cigna
| Professional | $204.06 | $204.06 | $204.06 | |
Providence
| Professional | $126.66 | $126.66 | $225.17 | |
United
| Professional | $84.44 | $115.02 | $240.95 |