| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $552.04 | $552.04 | $552.04 | |
Cigna
| Professional | $437.37 | $546.71 | $552.04 | |
Providence
| Facility | $552.04 | $552.04 | $552.04 | |
Providence
| Professional | $342.65 | $380.72 | $475.90 | |
United
| Professional | $159.90 | $159.90 | $380.72 |