| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $8.86 | $8.86 | $8.86 | |
Cigna
| Facility | $46.18 | $46.18 | $88.34 | |
Cigna
| Professional | $46.18 | $80.59 | $88.34 | |
Providence
| Facility | $30.55 | $88.34 | $128.94 | |
Providence
| Professional | $46.18 | $80.59 | $88.34 | |
United
| Professional | $35.90 | $35.90 | $59.85 |