| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $5.48 | $5.48 | $5.48 | |
Cigna
| Facility | $33.33 | $33.33 | $54.98 | |
Cigna
| Professional | $33.33 | $47.18 | $54.98 | |
Providence
| Facility | $33.33 | $43.28 | $75.48 | |
Providence
| Professional | $33.33 | $47.18 | $54.98 | |
United
| Professional | $24.08 | $24.08 | $27.98 |