| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $504.27 | $504.27 | $630.34 | |
Pacific Source
| Facility | $438.93 | $438.93 | $968.94 | |
Providence
| Facility | $504.77 | $531.11 | $1,272.90 | |
Providence
| Professional | $482.82 | $526.72 | $702.29 |