| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $7.39 | $7.39 | $7.39 | |
Cigna
| Facility | $42.67 | $42.67 | $71.47 | |
Cigna
| Professional | $42.67 | $59.36 | $71.47 | |
Providence
| Facility | $26.47 | $68.06 | $94.98 | |
Providence
| Professional | $42.67 | $59.36 | $71.47 | |
United
| Professional | $30.27 | $30.27 | $50.45 |