| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $39.28 | $77.38 | $149.26 | |
Cigna
| Professional | $20.23 | $20.23 | $25.30 | |
Providence
| Facility | $39.28 | $77.38 | $149.26 | |
Providence
| Professional | $22.65 | $32.08 | $44.64 | |
United
| Professional | $9.14 | $10.16 | $24.18 |