| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $60.79 | $60.79 | $60.79 | |
Cigna
| Facility | $299.44 | $299.44 | $604.92 | |
Cigna
| Professional | $299.44 | $575.09 | $604.92 | |
Providence
| Facility | $234.09 | $527.63 | $920.14 | |
Providence
| Professional | $299.44 | $575.09 | $604.92 | |
United
| Professional | $235.28 | $235.28 | $325.04 |