| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,170.04 | $5,170.04 | $6,194.29 | |
Pacific Source
| Facility | $1,749.00 | $2,588.88 | $2,663.25 | |
Providence
| Facility | $3,134.91 | $3,372.33 | $3,372.33 | |
Providence
| Professional | $2,429.07 | $2,997.69 | $3,762.38 |