| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.28 | $34.28 | $42.85 | |
Pacific Source
| Facility | $29.92 | $33.79 | $66.05 | |
Providence
| Facility | $34.40 | $37.85 | $86.77 | |
Providence
| Professional | $29.34 | $32.90 | $41.89 |