| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $9.49 | $9.49 | $9.49 | |
Cigna
| Facility | $44.10 | $44.10 | $97.78 | |
Cigna
| Professional | $44.10 | $69.98 | $97.78 | |
Providence
| Facility | $44.10 | $74.50 | $111.97 | |
Providence
| Professional | $44.10 | $69.98 | $97.78 | |
United
| Professional | $41.99 | $42.50 | $70.83 |