| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $8.88 | $8.88 | $8.88 | |
Cigna
| Facility | $48.02 | $48.02 | $89.01 | |
Cigna
| Professional | $48.02 | $78.65 | $89.01 | |
Providence
| Facility | $30.32 | $89.01 | $125.84 | |
Providence
| Professional | $48.02 | $78.65 | $89.01 | |
United
| Professional | $36.02 | $36.02 | $60.04 |