| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $27.01 | $27.01 | $27.01 | |
Cigna
| Professional | $21.48 | $26.85 | $27.01 | |
Providence
| Facility | $27.01 | $27.01 | $27.01 | |
Providence
| Professional | $16.77 | $16.77 | $27.01 | |
United
| Professional | $7.82 | $7.82 | $18.63 |