| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $766.64 | $766.64 | $766.64 | |
Cigna
| Professional | $85.66 | $766.64 | $1,125.35 | |
Providence
| Facility | $74.89 | $341.60 | $903.74 | |
Providence
| Professional | $85.66 | $766.64 | $1,125.35 | |
United
| Professional | $419.69 | $525.10 | $875.17 |