| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $7.40 | $7.40 | $7.40 | |
Cigna
| Facility | $39.01 | $39.01 | $74.00 | |
Cigna
| Professional | $39.01 | $67.03 | $74.00 | |
Providence
| Facility | $26.86 | $74.00 | $107.25 | |
Providence
| Professional | $39.01 | $67.03 | $74.00 | |
United
| Professional | $29.47 | $29.47 | $49.11 |