| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $60.71 | $60.71 | $60.71 | |
Cigna
| Facility | $353.55 | $353.55 | $654.54 | |
Cigna
| Professional | $353.55 | $497.68 | $654.54 | |
Providence
| Facility | $353.55 | $529.78 | $796.29 | |
Providence
| Professional | $353.55 | $497.68 | $654.54 | |
United
| Professional | $253.82 | $255.25 | $296.48 |