| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $6.19 | $6.19 | $6.19 | |
Cigna
| Facility | $36.44 | $36.44 | $56.65 | |
Cigna
| Professional | $36.44 | $47.05 | $56.65 | |
Providence
| Facility | $36.44 | $46.82 | $75.28 | |
Providence
| Professional | $36.44 | $47.05 | $56.65 | |
United
| Professional | $26.32 | $26.32 | $43.86 |