| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $2,892.94 | $2,892.94 | $2,892.94 | |
United
| Professional | $2,012.48 | $2,012.48 | $2,012.48 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Professional | $2,892.94 | $2,892.94 | $2,892.94 | |
United
| Professional | $2,012.48 | $2,012.48 | $2,012.48 |