| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $134.00 | $134.00 | $134.00 | |
Cigna
| Professional | $78.23 | $134.00 | $873.72 | |
Providence
| Facility | $58.12 | $134.00 | $825.54 | |
Providence
| Professional | $78.23 | $134.00 | $873.72 | |
United
| Professional | $383.41 | $479.63 | $799.38 |