| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $3.42 | $3.42 | $3.42 | |
Cigna
| Facility | $21.16 | $21.16 | $34.29 | |
Cigna
| Professional | $21.16 | $28.73 | $34.29 | |
Providence
| Facility | $10.89 | $32.95 | $45.97 | |
Providence
| Professional | $21.16 | $28.73 | $34.29 | |
United
| Professional | $14.65 | $15.99 | $18.44 |