| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $6.25 | $6.25 | $6.25 | |
Cigna
| Facility | $44.42 | $44.42 | $60.85 | |
Cigna
| Professional | $44.42 | $52.54 | $60.85 | |
Providence
| Facility | $40.90 | $46.82 | $80.84 | |
Providence
| Professional | $44.42 | $52.54 | $60.85 | |
United
| Professional | $28.91 | $28.91 | $48.19 |