| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,399.10 | $4,399.10 | $4,399.10 | |
Providence
| Professional | $3,640.63 | $3,792.33 | $4,399.10 | |
United
| Professional | $1,274.22 | $1,274.22 | $5,194.42 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,399.10 | $4,399.10 | $4,399.10 | |
Providence
| Professional | $3,640.63 | $3,792.33 | $4,399.10 | |
United
| Professional | $1,274.22 | $1,274.22 | $5,194.42 |