| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $201.40 | $201.40 | $201.40 | |
BCBS
| Professional | $201.40 | $201.40 | $201.40 | |
Cigna
| Professional | $217.94 | $217.94 | $217.94 | |
Providence
| Professional | $135.27 | $135.27 | $240.48 | |
United
| Professional | $90.18 | $120.36 | $165.33 |