| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $133.03 | $133.03 | $133.03 | |
Cigna
| Facility | $795.00 | $795.00 | $795.00 | |
Cigna
| Professional | $106.49 | $795.00 | $818.85 | |
Providence
| Facility | $98.66 | $137.74 | $795.00 | |
Providence
| Professional | $106.49 | $795.00 | $818.85 | |
United
| Professional | $484.44 | $668.58 | $1,114.30 |