| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $11.50 | $11.50 | $11.50 | |
Cigna
| Facility | $64.23 | $64.23 | $114.90 | |
Cigna
| Professional | $64.23 | $114.90 | $114.90 | |
Providence
| Facility | $26.87 | $94.96 | $118.70 | |
Providence
| Professional | $64.23 | $114.90 | $114.90 | |
United
| Professional | $46.76 | $46.76 | $77.93 |