| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $4.34 | $4.34 | $4.34 | |
Cigna
| Facility | $27.09 | $27.09 | $47.12 | |
Cigna
| Professional | $27.09 | $33.71 | $47.12 | |
Providence
| Facility | $27.09 | $35.90 | $53.94 | |
Providence
| Professional | $27.09 | $33.71 | $47.12 | |
United
| Professional | $17.50 | $19.34 | $32.24 |