| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $35.50 | $35.50 | $35.50 | |
BCBS
| Professional | $35.50 | $35.50 | $35.50 | |
Cigna
| Professional | $38.40 | $38.40 | $38.40 | |
Providence
| Professional | $23.84 | $23.84 | $38.40 | |
United
| Professional | $11.13 | $15.16 | $45.35 |