| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $671.95 | $671.95 | $839.94 | |
Pacific Source
| Facility | $584.90 | $584.90 | $1,291.17 | |
Providence
| Facility | $672.64 | $707.73 | $1,696.21 | |
Providence
| Professional | $643.39 | $701.88 | $935.84 | |
United
| Facility | $372.16 | $372.16 | $372.16 |