| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $51.64 | $51.64 | $51.64 | |
Cigna
| Facility | $333.25 | $333.25 | $517.97 | |
Cigna
| Professional | $333.25 | $517.97 | $517.97 | |
Providence
| Facility | $333.25 | $406.33 | $517.97 | |
Providence
| Professional | $333.25 | $376.21 | $517.97 | |
United
| Professional | $225.64 | $238.87 | $398.11 |