| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $422.72 | $422.72 | $422.72 | |
Cigna
| Professional | $72.20 | $422.72 | $888.00 | |
Providence
| Facility | $59.08 | $283.14 | $749.29 | |
Providence
| Professional | $72.20 | $422.72 | $888.00 | |
United
| Professional | $347.78 | $435.24 | $725.40 |