| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Facility | $10.65 | $10.65 | $20.01 | |
Cigna
| Professional | $10.65 | $18.10 | $20.01 | |
Providence
| Facility | $6.86 | $16.57 | $28.96 | |
Providence
| Professional | $10.65 | $18.10 | $20.01 | |
United
| Professional | $7.73 | $7.73 | $10.22 |