| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $4.76 | $4.76 | $4.76 | |
Cigna
| Facility | $25.90 | $25.90 | $48.74 | |
Cigna
| Professional | $25.90 | $37.79 | $48.74 | |
Providence
| Facility | $25.90 | $40.22 | $60.48 | |
Providence
| Professional | $25.90 | $37.79 | $48.74 | |
United
| Professional | $18.93 | $18.93 | $31.55 |