| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $840.94 | $840.94 | $840.94 | |
Cigna
| Professional | $96.75 | $840.94 | $1,234.20 | |
Providence
| Facility | $82.14 | $374.67 | $991.23 | |
Providence
| Professional | $96.75 | $840.94 | $1,234.20 | |
United
| Professional | $460.40 | $575.99 | $959.98 |