| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $101.18 | $101.18 | $122.51 | |
Cigna
| Professional | $104.13 | $122.51 | $122.51 | |
Providence
| Facility | $56.34 | $75.64 | $142.35 | |
Providence
| Professional | $77.81 | $119.70 | $139.86 | |
United
| Professional | $114.92 | $125.97 | $140.16 |