| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $142.31 | $142.31 | $142.31 | |
Cigna
| Facility | $458.33 | $458.33 | $458.33 | |
Cigna
| Professional | $75.66 | $458.33 | $1,209.93 | |
Providence
| Facility | $458.33 | $944.60 | $1,751.98 | |
Providence
| Professional | $75.66 | $458.33 | $1,209.93 | |
United
| Professional | $470.76 | $470.76 | $784.60 |