| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3.16 | $4.47 | $10.72 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Providence
| Professional | $79.43 | $79.43 | $79.43 | |
Wellpoint
| Professional | $26.92 | $26.92 | $26.92 |