| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $71.09 | $71.09 | $77.29 | |
Cigna
| Professional | $65.70 | $77.29 | $77.29 | |
Providence
| Facility | $38.02 | $47.52 | $97.50 | |
Providence
| Professional | $54.68 | $77.29 | $98.28 | |
United
| Professional | $80.08 | $87.78 | $97.61 |