| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $5.13 | $5.13 | $5.13 | |
Cigna
| Facility | $29.99 | $29.99 | $55.39 | |
Cigna
| Professional | $29.99 | $42.01 | $55.39 | |
Providence
| Facility | $29.99 | $44.72 | $67.22 | |
Providence
| Professional | $29.99 | $42.01 | $55.39 | |
United
| Facility | $2.10 | $15.75 | $26.37 | |
United
| Professional | $21.78 | $22.60 | $37.67 |