| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $407.81 | $407.81 | $407.81 | |
Cigna
| Professional | $47.24 | $407.81 | $598.67 | |
Providence
| Facility | $39.83 | $181.71 | $480.95 | |
Providence
| Professional | $47.24 | $407.81 | $598.67 | |
United
| Professional | $223.23 | $279.33 | $465.56 |