| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $5.78 | $5.78 | $5.78 | |
Cigna
| Facility | $31.91 | $31.91 | $58.34 | |
Cigna
| Professional | $31.91 | $58.34 | $58.34 | |
Providence
| Facility | $31.91 | $46.76 | $58.45 | |
Providence
| Professional | $31.91 | $39.89 | $58.34 | |
United
| Professional | $22.79 | $22.79 | $37.97 |