| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $671.95 | $671.95 | $839.94 | |
Providence
| Facility | $796.75 | $796.75 | $796.75 | |
Providence
| Professional | $584.90 | $672.64 | $742.82 | |
United
| Facility | $391.88 | $712.92 | $712.92 |