| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $2.10 | $2.10 | $2.10 | |
Cigna
| Facility | $13.51 | $13.51 | $20.23 | |
Cigna
| Professional | $13.51 | $16.80 | $20.23 | |
Providence
| Facility | $13.51 | $15.43 | $26.88 | |
Providence
| Professional | $13.51 | $16.80 | $20.23 | |
United
| Professional | $9.61 | $9.61 | $16.03 |