| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $44.33 | $44.33 | $94.76 | |
Cigna
| Professional | $44.33 | $94.76 | $94.76 | |
Providence
| Facility | $44.33 | $72.18 | $108.51 | |
Providence
| Professional | $44.33 | $94.76 | $94.76 | |
United
| Professional | $35.17 | $41.08 | $68.47 |