| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $5.80 | $5.80 | $5.80 | |
Cigna
| Facility | $35.56 | $35.56 | $62.42 | |
Cigna
| Professional | $35.56 | $44.75 | $62.42 | |
Providence
| Facility | $35.56 | $47.64 | $71.59 | |
Providence
| Professional | $35.56 | $44.75 | $62.42 | |
United
| Professional | $23.21 | $26.09 | $43.49 |