| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $9.32 | $9.32 | $9.32 | |
Cigna
| Facility | $35.54 | $35.54 | $101.13 | |
Cigna
| Professional | $35.54 | $74.94 | $101.13 | |
Providence
| Facility | $35.54 | $79.78 | $119.90 | |
Providence
| Professional | $35.54 | $74.94 | $101.13 | |
United
| Professional | $38.22 | $39.40 | $65.66 |