| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $518.55 | $518.55 | $518.55 | |
Cigna
| Professional | $410.94 | $513.66 | $518.55 | |
Providence
| Facility | $518.55 | $518.55 | $518.55 | |
Providence
| Professional | $321.87 | $357.63 | $447.04 | |
United
| Professional | $150.19 | $150.19 | $357.63 |