| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28.37 | $28.37 | $41.21 | |
Cigna
| Professional | $28.37 | $41.21 | $41.21 | |
Providence
| Facility | $13.16 | $28.37 | $47.20 | |
Providence
| Professional | $28.37 | $31.70 | $41.21 | |
United
| Professional | $17.70 | $19.57 | $32.64 |