| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $87.60 | $87.60 | $87.60 | |
Cigna
| Facility | $459.79 | $459.79 | $459.79 | |
Cigna
| Professional | $50.73 | $459.79 | $842.98 | |
Providence
| Facility | $96.70 | $459.79 | $1,348.77 | |
Providence
| Professional | $50.73 | $459.79 | $842.98 | |
United
| Professional | $276.11 | $294.06 | $490.10 |