| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $285.50 | $404.29 | $618.12 | |
Molina
| Professional | $141.97 | $141.97 | $141.97 | |
Providence
| Facility | $323.50 | $323.50 | $323.50 | |
Providence
| Professional | $88.13 | $223.08 | $327.99 |