| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $17.32 | $220.10 | $220.10 | |
Molina
| Professional | $70.00 | $100.00 | $150.00 | |
Providence
| Professional | $17.32 | $220.10 | $220.10 |