| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $65.52 | $65.52 | $65.52 | |
Cigna
| Facility | $283.73 | $283.73 | $283.73 | |
Cigna
| Professional | $47.85 | $283.73 | $560.72 | |
Providence
| Facility | $115.17 | $513.44 | $897.15 | |
Providence
| Professional | $47.85 | $283.73 | $560.72 | |
United
| Professional | $285.97 | $303.48 | $505.80 |