| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $3.46 | $3.46 | $3.46 | |
Cigna
| Facility | $21.27 | $21.27 | $34.81 | |
Cigna
| Professional | $21.27 | $29.49 | $34.81 | |
Providence
| Facility | $21.27 | $27.07 | $47.18 | |
Providence
| Professional | $21.27 | $29.49 | $34.81 | |
United
| Professional | $15.29 | $16.13 | $18.61 |