| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $222.41 | $222.41 | $222.41 | |
Cigna
| Facility | $222.41 | $222.41 | $237.00 | |
Cigna
| Professional | $189.05 | $222.41 | $222.41 | |
Providence
| Facility | $109.37 | $136.71 | $307.45 | |
Providence
| Professional | $182.26 | $252.36 | $327.60 | |
United
| Professional | $246.58 | $288.52 | $326.39 |