| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $192.63 | $192.63 | $192.63 | |
BCBS
| Professional | $192.63 | $192.63 | $192.63 | |
Cigna
| Professional | $208.44 | $208.44 | $208.44 | |
Providence
| Professional | $129.38 | $129.38 | $230.00 | |
United
| Professional | $86.25 | $103.24 | $246.12 |