| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,683.84 | $1,710.43 | $1,710.43 | |
Providence
| Facility | $460.08 | $757.96 | $1,430.15 | |
Providence
| Professional | $1,683.84 | $1,710.43 | $1,710.43 | |
United
| Professional | $661.41 | $704.39 | $1,173.99 |