| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $316.01 | $316.01 | $316.01 | |
Cigna
| Facility | $287.14 | $287.14 | $316.01 | |
Cigna
| Professional | $268.61 | $316.01 | $316.01 | |
Providence
| Facility | $140.80 | $193.58 | $369.20 | |
Providence
| Professional | $220.82 | $316.01 | $396.90 | |
United
| Professional | $326.04 | $351.12 | $397.39 |