| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $22.34 | $22.34 | $22.34 | |
Cigna
| Facility | $112.73 | $112.73 | $112.73 | |
Cigna
| Professional | $15.59 | $112.73 | $189.12 | |
Providence
| Facility | $25.18 | $124.55 | $302.58 | |
Providence
| Professional | $15.59 | $112.73 | $189.12 | |
United
| Professional | $79.09 | $84.23 | $140.38 |