| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $206.11 | $206.11 | $243.45 | |
Cigna
| Professional | $206.11 | $222.32 | $350.95 | |
Providence
| Professional | $137.40 | $210.36 | $290.00 | |
United
| Professional | $104.83 | $107.40 | $196.90 |