| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $687.90 | $687.90 | $687.90 | |
Cigna
| Professional | $76.87 | $687.90 | $1,009.92 | |
Providence
| Facility | $67.19 | $306.58 | $811.37 | |
Providence
| Professional | $76.87 | $687.90 | $1,009.92 | |
United
| Professional | $376.77 | $471.40 | $785.67 |