| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $65.00 | $65.00 | $726.00 | |
Providence
| Facility | $48.30 | $80.48 | $686.24 | |
Providence
| Professional | $65.00 | $65.00 | $726.00 | |
United
| Professional | $318.58 | $398.43 | $664.05 |