| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $746.73 | $746.73 | $746.73 | |
Cigna
| Professional | $85.92 | $746.73 | $1,096.32 | |
Providence
| Facility | $72.94 | $332.82 | $880.77 | |
Providence
| Professional | $85.92 | $746.73 | $1,096.32 | |
United
| Professional | $408.85 | $511.68 | $852.80 |