| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $504.27 | $504.27 | $630.34 | |
Providence
| Facility | $602.10 | $602.10 | $602.10 | |
Providence
| Professional | $438.93 | $504.77 | $557.44 | |
United
| Professional | $184.35 | $252.88 | $438.93 |